DR. MOHAMMAD S KANAKRIYEH MD
NPI 1164512281
Pediatrics - Pediatric Cardiology in San Bernardino, CA

Q: What is Mohammad Kanakriyeh's NPI number?

The NPI number for Mohammad Kanakriyeh is 1164512281. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Q: What is Mohammad Kanakriyeh's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Active since October 13, 2006PECOS Enrolled

350 E VANDERBILT WAY, STE A, SAN BERNARDINO, CA 92408(909) 886-5200(909) 382-9017 Get Directions Write a Review

NPPES record last updated: February 12, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Mohammad S Kanakriyeh Md NPPES

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

DR. MOHAMMAD S KANAKRIYEH MD (NPI 1164512281) is an individual pediatric cardiology provider in San Bernardino, California, licensed in California (A42526) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164512281

Entity TypeIndividualMale

Primary Taxonomy2080P0202X

Provider Legal NameDR. MOHAMMAD S KANAKRIYEHCredential: MD

Location Address350 E VANDERBILT WAY, STE ASan Bernardino, CA 92408

Mailing Address350 E Vanderbilt Way, Ste ASan Bernardino, CA 92408 · (909) 886-5200 · Fax (909) 382-9017

Phone(909) 886-5200

Fax(909) 382-9017

Sole ProprietorYes

Enumeration DateOctober 13, 2006

Last NPPES UpdateFebruary 12, 2019

✔ NPI 1164512281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0202X

License✔ Licensed in CA · A42526

Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

350 E VANDERBILT WAY, San Bernardino, CA 92408

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Other Identifiers 3

OtherZZZ51351ZCA · Blue Shield

Medicaid00A425260CA

Other330698865CA · Blue Cross

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mohammad S Kanakriyeh Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Mohammad Kanakriyeh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatric Cardiology Specialists Medical Group Inc

Same address

Pediatric Cardiology

350 E VANDERBILT WAY STE A
San Bernardino, CA 92408

Reassigned Medicare billing, California enrollment

NPI 1356541429 (909) 886-5200

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

Other Providers at the Same Location NPPES

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

GAIL MARKS MD

Pediatrics

350 E VANDERBILT WAY, STE B
SAN BERNARDINO, CA 92408

San Bernardino County (909) 886-1001

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 Mohammad Kanakriyeh's NPI number?

The NPI number for Mohammad Kanakriyeh is 1164512281. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Mohammad Kanakriyeh located?

Mohammad Kanakriyeh practices at 350 E Vanderbilt Way Ste A, San Bernardino, CA 92408. The listed phone number is (909) 886-5200.

What is Mohammad Kanakriyeh's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Mohammad Kanakriyeh enrolled in Medicare?

Yes. Mohammad Kanakriyeh is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mohammad Kanakriyeh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohammad Kanakriyeh reassigns Medicare benefits to Pediatric Cardiology Specialists Medical Group Inc (San Bernardino, 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 Mohammad Kanakriyeh'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 Mohammad Kanakriyeh was last updated on February 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.