DEVIN REED MUDGE M.D.
NPI 1194750778
Specialist in San Bernardino, CA

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment
401 E HIGHLAND AVE, SUITE 251, SAN BERNARDINO, CA 92404(909) 881-1614(909) 881-2711 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1194750778
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDEVIN REED MUDGECredential: M.D.
Location Address401 E HIGHLAND AVE, SUITE 251San Bernardino, CA 92404-3803
Mailing Address401 E Highland Ave, Suite 251San Bernardino, CA 92404-3803 · (909) 881-1614 · Fax (909) 881-2711
Fax(909) 881-2711
Sole ProprietorNo
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 1985
Enumeration DateJuly 11, 2006
Last NPPES UpdateDecember 2, 2021
NPI 1194750778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CA · G75287
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

401 E HIGHLAND AVE, San Bernardino, CA 92404

Other Identifiers 4

OtherG75287CA · License
Medicaid00G752870CA
Other00G752871Medicare Individual Ptan
OtherZZZ07161ZMedicare Group Ptan

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID6709965395
PECOS Enrollment IDI20080507000643
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.

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.

Neurological Surgery
401 E HIGHLAND AVE, SUITE 551
SAN BERNARDINO, CA 92404
Specialist
401 E HIGHLAND AVE, SUITE 251
SAN BERNARDINO, CA 92404
Physician Assistant
401 E HIGHLAND AVE, SUITE 251
SAN BERNARDINO, CA 92404
Physician Assistant
401 E HIGHLAND AVE, SUITE 251
SAN BERNARDINO, CA 92404
Neurological Surgery
401 E HIGHLAND AVE, SUITE 553
SAN BERNARDINO, CA 92404
Special Hospital
401 E HIGHLAND AVE, SUITE D
SAN BERNARDINO, CA 92404
Internal Medicine (Nephrology)
401 E HIGHLAND AVE, SUITE 551
SAN BERNARDINO, CA 92404
Specialist
401 E HIGHLAND AVE, SUITE 251
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.

When was this NPI record last updated?

The NPPES record for Devin Mudge was last updated on December 2, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.