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NADINE M HAMMOUD DO, MS
NPI 1114489598
Family Medicine - Addiction Medicine in Moreno Valley, CA

Active since April 03, 2019PECOS EnrolledAccepts Medicare Assignment
12815 HEACOCK ST, MORENO VALLEY, CA 92553(833) 574-2273 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 6, 2021, Apr 3, 2019 (2 updates tracked since 2019).

About Nadine M Hammoud Do, Ms NPPES

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

NADINE M HAMMOUD DO, MS (NPI 1114489598) is an individual addiction medicine provider in Moreno Valley, California, licensed in California (20A19668) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Arizona College Of Osteopathic Medicine Mid Western University (2019).

NPPES Registry Identity

NPI1114489598
Entity TypeIndividualFemale
Primary Taxonomy207QA0401X
Provider Legal NameNADINE M HAMMOUDCredential: DO, MS
Location Address12815 HEACOCK STMoreno Valley, CA 92553-2836
Mailing Address12815 Heacock StMoreno Valley, CA 92553-3116
Phone(833) 574-2273
Sole ProprietorNo
Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2019
Enumeration DateApril 3, 2019
Last NPPES UpdateJune 29, 20232 updates tracked since enumeration
NPPES CertifiedJune 29, 2023
✔ NPI 1114489598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License✔ Licensed in CA · 20A19668
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
12815 HEACOCK ST, Moreno Valley, CA 92553
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nadine M Hammoud Do, Ms is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496153777
PECOS Enrollment IDI20230821003329
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Nadine Hammoud reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
13 mi
Health Maintenance Organization
10800 MAGNOLIA AVE
Riverside, CA 92505
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group
NPI 1316979834 (866) 984-7483

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92553 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAITLIN THU CHAU M.D.
Family Medicine
12815 HEACOCK ST
MORENO VALLEY, CA 92553
Riverside County (951) 601-6163
MARINOR ANNE MARCELO CONCEPCION DO
Family Medicine
12815 HEACOCK ST
MORENO VALLEY, CA 92553
Riverside County (833) 574-2273
MS. ANA RAYO LMFT
Marriage & Family Therapist
12815 HEACOCK ST
MORENO VALLEY, CA 92553
Riverside County (951) 601-6261
DENENEA CONNER-TILLMAN LCSW
Social Worker
12815 HEACOCK ST
MORENO VALLEY, CA 92553
Riverside County (951) 601-6200
VICTORIA LEAH SNYDER LCSW
Social Worker (Clinical)
12815 HEACOCK ST
MORENO VALLEY, CA 92553
Riverside County (951) 601-6174
JESSICA TERRELL MA
Counselor (Addiction (Substance Use Disorder))
12815 HEACOCK ST
MORENO VALLEY, CA 92553
Riverside County (951) 601-6388
HAN-LIN SUNG MD
Family Medicine
12815 HEACOCK ST
MORENO VALLEY, CA 92553
Riverside County (866) 984-7483
JANA PITTS
Marriage & Family Therapist
12815 HEACOCK ST
MORENO VALLEY, CA 92553
Riverside County (951) 601-6081

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 Nadine Hammoud's NPI number?

The NPI number for Nadine Hammoud is 1114489598. It was assigned to this individual provider in the NPPES registry on April 3, 2019.

Where is Nadine Hammoud located?

Nadine Hammoud practices at 12815 Heacock St, Moreno Valley, CA 92553. The listed phone number is (833) 574-2273.

What is Nadine Hammoud's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Is Nadine Hammoud enrolled in Medicare?

Yes. Nadine Hammoud is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Nadine Hammoud's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nadine Hammoud reassigns Medicare benefits to Southern California Permanente Medical Group (Riverside, CA). The 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 Nadine Hammoud's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nadine Hammoud was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.