DMCK MEDICAL CORPORATION
NPI 1154132173
Internal Medicine in San Diego, CA

Active since January 17, 2025
4629 CASS ST STE 51, SAN DIEGO, CA 92109(619) 578-1063 Get Directions Write a Review

NPPES record last updated: January 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dmck Medical Corporation NPPES

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

DMCK MEDICAL CORPORATION (NPI 1154132173) is a healthcare organization registered as an internal medicine in San Diego, California and active in the NPI registry since January 2025. The organization lists Ahmed Kabakibi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1154132173
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameDMCK MEDICAL CORPORATION
Location Address4629 CASS ST STE 51San Diego, CA 92109-2805
Mailing Address4629 Cass St Ste 51San Diego, CA 92109-2805 · (619) 578-1063
Organization SubpartNo
Authorized OfficialAhmed KabakibiCeo · (619) 578-1063
Enumeration DateJanuary 17, 2025
NPPES CertifiedJanuary 15, 2025
✔ NPI 1154132173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4629 CASS ST STE 51, San Diego, CA 92109

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dmck Medical Corporation 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 Dmck Medical Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1043390206
6367 ALVARADO CT STE 200
San Diego, CA 92120
(619) 583-1954
✔ PECOS11 mi

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

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 Dmck Medical Corporation's NPI number?

The NPI number for Dmck Medical Corporation is 1154132173. It was assigned to this organization in the NPPES registry on January 17, 2025.

Where is Dmck Medical Corporation located?

Dmck Medical Corporation is located at 4629 Cass St Ste 51, San Diego, CA 92109. The listed phone number is (619) 578-1063.

What is Dmck Medical Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Dmck Medical Corporation enrolled in Medicare?

Yes. Dmck Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dmck Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Dmck Medical Corporation. 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.

When was this NPI record last updated?

The NPPES record for Dmck Medical Corporation was last updated on January 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.