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HISHAM ABUKAMLEH MD. INC
NPI 1043855208
Clinic/Center - Primary Care in Apple Valley, CA

Active since November 12, 2019CLIA 05D2205730 · Waiver
18144 US HIGHWAY 18 STE 140, APPLE VALLEY, CA 92307(760) 515-4003(760) 515-4503 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 10, 2024, Jul 1, 2020, May 7, 2020 and 1 more (4 updates tracked since 2019).

About Hisham Abukamleh Md. Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HISHAM ABUKAMLEH MD. INC (NPI 1043855208) is a healthcare organization registered as a primary care in Apple Valley, California and active in the NPI registry since November 2019. The organization holds a CLIA Waiver certificate valid through December 14, 2026 and lists Hisham Jihad Abukamleh, Doctor, as its authorized official.

NPPES Registry Identity

NPI1043855208
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameHISHAM ABUKAMLEH MD. INC
Location Address18144 US HIGHWAY 18 STE 140Apple Valley, CA 92307-2219
Mailing Address18182 Us Highway 18 Ste 107Apple Valley, CA 92307-2200 · (760) 515-4003 · Fax (760) 515-4503
Phone(760) 515-4003
Fax(760) 515-4503
Organization SubpartNo
Authorized OfficialHisham Jihad AbukamlehDoctor · (760) 515-4003
Enumeration DateNovember 12, 2019
Last NPPES UpdateJuly 10, 20244 updates tracked since enumeration
NPPES CertifiedJune 26, 2024
✔ NPI 1043855208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
18144 US HIGHWAY 18 STE 140, Apple Valley, CA 92307
Open in Google Maps ↗

Other Identifiers 1

Medicaid1144689647CA

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hisham Abukamleh Md. Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Hisham Abukamleh MD. Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Hisham Abukamleh, MD
Internal Medicine
NPI 1144689647
18144 US HIGHWAY 18 STE 140
Apple Valley, CA 92307
(760) 515-4003
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2205730

Hisham Abukamleh MD Inc · Apple Valley, CA
Active · expires Dec 14, 2026
CLIA Number05D2205730
Laboratory TypePhysician Office
Certificate Effective DateDecember 15, 2024
Certificate Expiration DateDecember 14, 2026
Laboratory DirectorHisham J. Abukamleh
Laboratory Phone(760) 515-4003
Laboratory LocationHisham Abukamleh MD Inc18182 Us Highway 18 Ste 107, Apple Valley, CA 92307
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hisham Abukamleh MD. Inc's NPI number?

The NPI number for Hisham Abukamleh MD. Inc is 1043855208. It was assigned to this organization in the NPPES registry on November 12, 2019.

Where is Hisham Abukamleh MD. Inc located?

Hisham Abukamleh MD. Inc is located at 18144 Us Highway 18 Ste 140, Apple Valley, CA 92307. The listed phone number is (760) 515-4003.

What is Hisham Abukamleh MD. Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Hisham Abukamleh MD. Inc enrolled in Medicare?

Yes. Hisham Abukamleh MD. Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hisham Abukamleh MD. Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Hisham Abukamleh MD. Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Hisham Abukamleh MD. Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2205730) is associated with this NPI, valid through December 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hisham Abukamleh MD. Inc was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.