NPIMap

Individual provider Active NPI

Anas Kawayeh, M.D.

  • Gastroenterology Physician
  • Rialto, CA
National Provider Identifier
1821296591
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A109588 Issued in CA
Practice address
2006 N Riverside Ave
Ste a
Rialto, CA 92377-4696
Phone
(909) 883-2999
NPI assigned
Jul 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A109588 CA Primary

Addresses

Primary practice location

2006 N Riverside Ave
Ste a
Rialto, CA 92377-4696

Mailing address

375 Terracina Blvd
Redlands, CA 92373-3801
Phone (909) 883-2394

Other identifiers 1

IdentifierTypeStateIssuer
A109588OtherCAMD LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100809000840 CA Practitioner - Internal Medicine 9335272590 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Bernardino Gastroenterology Associates IncGroup PAC ID 7214218726, 7 clinicians

Practice addresses (Care Compare)

2006 N Riverside Ave
Suite B
Rialto, CA 92377-4697
Phone (909) 644-4033

875 N Brea Blvd
Brea, CA 92821-2606
Phone (714) 529-6842

Hospital & facility affiliations

  • Arrowhead Regional Medical Center Hospital, Colton, CA, CCN 050245
  • St Bernardine Medical Center Hospital, San Bernardino, CA, CCN 050129
  • Redlands Community Hospital Hospital, Redlands, CA, CCN 050272
  • Providence St. Jude Medical Center Hospital, Fullerton, CA, CCN 050168
  • Riverside Community Hospital Hospital, Riverside, CA, CCN 050022
  • Kindred Hospital Brea Long-term care hospital, Brea, CA, CCN 052039

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy116
Upper gastrointestinal (GI) endoscopy for acid reflux131

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A109588CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anas Kawayeh MD Inc Gastroenterology CurrentSince Sep 23, 2016 Accepting new patients
San Bernardino Gastroenterology Associates Inc. Gastroenterology CurrentSince Dec 1, 2016 Accepting new patients
Sreenivasa R. Nakka, Inc Gastroenterology CurrentSince Apr 1, 2014 Accepting new patients
Universal Health Services of Rancho Springs Inc Past Accepting new patients
Menifee Valley Medical Center Past Accepting new patients
Cogent Healthcare of California, PC Past Accepting new patients
Loma Linda University Physicians Medical Group Inc Past Accepting new patients
Dignity Health Past Accepting new patients
Community Hospital of San Bernardino Past Accepting new patients
Hemet Valley Medical Center Past Accepting new patients

Locations

875 N Brea Blvd
Brea, CA 92821
Phone (714) 529-6842

949 Calhoun Pl
Ste A
Hemet, CA 92543
Phone (951) 766-1954

375 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-2600

2006 N Riverside Ave
Ste B
Rialto, CA 92377
Phone (909) 644-4033

2006 N Riverside Ave
Rialto, CA 92377
Phone (909) 227-5139

2006 N Riverside Ave
Ste A
Rialto, CA 92377
Phone (909) 881-3032

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 11

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 8

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": "1183507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1821296591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 TERRACINA BLVD",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923733801",
            "telephone_number": "909-883-2394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 N RIVERSIDE AVE",
            "address_2": "STE A",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923774696",
            "telephone_number": "909-883-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAWAYEH",
        "first_name": "ANAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-04",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A109588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSE",
            "identifier": "A109588",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rialto, CA

Sources for this page

Verify at the official NPI Registry.