Individual provider Active NPI

Kamil Majdi Muhyieddeen, M.D

  • Cardiovascular Disease Physician
  • San Bernardino, CA
National Provider Identifier
1467773176
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A124850 Issued in CA
Practice address
1800 Western Ave Ste 302
San Bernardino, CA 92411-1354
Phone
(909) 713-2323
NPI assigned
Jun 16, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A124850 CA Primary

Addresses

Primary practice location

1800 Western Ave Ste 302
San Bernardino, CA 92411-1354

Mailing address

1800 Western Ave Ste 302
San Bernardino, CA 92411-1354
Phone (909) 713-2323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140121000309 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9032347083 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2101 N Waterman Ave
San Bernardino, CA 92404-4836
Phone (909) 883-8711

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A124850CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clean Heart Cardiology PC Cardiovascular Disease CurrentSince Jul 17, 2025 Accepting new patients
Kamil Muhyieddeen, MD, Inc. Cardiovascular Disease CurrentSince Nov 1, 2018 Accepting new patients
Oak Hills Medical Corporation CurrentSince Dec 21, 2016 Accepting new patients
Sood Kisra, MD., PC. Cardiovascular Disease Past Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients
Dignity Health Past Accepting new patients
Community Hospital of San Bernardino Past Accepting new patients

Locations

5020 Commerce Dr
Bakersfield, CA 93309

1800 Western Ave
#N302
San Bernardino, CA 92411

1800 Western Ave
Ste 302
Sn Bernrdno, CA 92411
Phone (909) 713-2323

2160 N Arrowhead Ave
Unit 23048
Sn Bernrdno, CA 92406
Phone (713) 470-8958

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1467773176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 WESTERN AVE STE 302",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924111354",
            "telephone_number": "909-713-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 WESTERN AVE STE 302",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924111354",
            "telephone_number": "909-713-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUHYIEDDEEN",
        "first_name": "KAMIL",
        "middle_name": "MAJDI",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-16",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A124850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.