Organization Active NPI

Kamil Muhyieddeen, MD, Inc.

  • Cardiovascular Disease Physician
  • San Bernardino, CA
National Provider Identifier
1518448828
Registry record updated Aug 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
KAMIL MUHYIEDDEEN, MD, INC.
Practice address
2160 N Arrowhead Ave Unit 23048
San Bernardino, CA 92406-1255
Phone
(713) 470-8958
NPI assigned
Aug 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2018

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

Authorized official

Name
Kamil Muhyieddeen, MDNPI 1467773176
Title
Physician
Phone
(713) 470-8958

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

2160 N Arrowhead Ave Unit 23048
San Bernardino, CA 92406-1255

Mailing address

PO Box 23048
San Bernardino, CA 92406-0448
Phone (713) 470-8958

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190305001610 CA Part B Supplier - Clinic/Group Practice 7719226042 Receives reassigned benefits from 1 practitioner
Practice locations: San Bernardino, CA

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535068800000",
    "number": "1518448828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23048",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924060448",
            "telephone_number": "713-470-8958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 N ARROWHEAD AVE UNIT 23048",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924061255",
            "telephone_number": "713-470-8958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMIL MUHYIEDDEEN, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-24",
        "last_updated": "2018-08-24",
        "status": "A",
        "authorized_official_last_name": "MUHYIEDDEEN",
        "authorized_official_first_name": "KAMIL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "713-470-8958",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.