DEVIN REED MUDGE M.D.
NPI 1194750778
Specialist in San Bernardino, CA
About Devin Reed Mudge M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEVIN REED MUDGE M.D. (NPI 1194750778) is an individual specialist in San Bernardino, California, licensed in California (G75287) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (1985).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
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
Devin Reed Mudge M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Devin Mudge reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fontana, CA 92336
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1982863783 (California)
- 5,228 clinicians in this Medicare group
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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN BERNARDINO, CA 92404
SAN BERNARDINO, CA 92404
SAN BERNARDINO, CA 92404
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 Devin Mudge's NPI number?
The NPI number for Devin Mudge is 1194750778. It was assigned to this individual provider in the NPPES registry on July 11, 2006.
Where is Devin Mudge located?
Devin Mudge practices at 401 E Highland Ave Suite 251, San Bernardino, CA 92404. The listed phone number is (909) 881-1614.
What is Devin Mudge's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Devin Mudge enrolled in Medicare?
Yes. Devin Mudge 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 Devin Mudge's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Devin Mudge reassigns Medicare benefits to Southern California Permanente Medical Group (Fontana, 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 Devin Mudge'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 Devin Mudge was last updated on December 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Devin Reed Mudge, M.D. · NPI 1194750778
Specialist provider in San Bernardino, California. Individual provider, active in the CMS NPPES registry since July 11, 2006.
## Identity
- **NPI:** 1194750778 (Entity type: Individual)
- **Enumerated:** July 11, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **State license:** G75287 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 401 E HIGHLAND AVE, SUITE 251, San Bernardino, CA 92404-3803
- **Phone:** (909) 881-1614 · **Fax:** (909) 881-2711
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1316463763, Fontana, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, Geffen School Of Medicine, class of 1985
## Record status
- **NPPES last updated:** December 2, 2021
- **Other identifiers:** Other G75287 (CA); Medicaid 00G752870 (CA); Other 00G752871; and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1194750778) · Data from the CMS NPPES public registry.