DEVIN REED MUDGE M.D.
NPI 1194750778
Specialist in San Bernardino, CA
NPI Status: Active since July 11, 2006
Contact Information
401 E HIGHLAND AVE
SUITE 251
SAN BERNARDINO, CA
ZIP 92404
Phone: (909) 881-1614
Fax: (909) 881-2711
- Individual
- Male
- Specialist
- PECOS Enrolled
About DEVIN MUDGE
This page provides the complete NPI Profile along with additional information for Devin Mudge, a provider established in San Bernardino, California with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1194750778 assigned on July 2006. The practitioner's primary taxonomy code is 174400000X with license number G75287 (CA). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1194750778
- Provider Name
- DEVIN REED MUDGE M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 401 E HIGHLAND AVE SUITE 251 SAN BERNARDINO, CA 92404
- Location Phone
- (909) 881-1614
- Location Fax
- (909) 881-2711
- Mailing Address
- 401 E HIGHLAND AVE SUITE 251 SAN BERNARDINO, CA 92404
- Mailing Phone
- (909) 881-1614
- Mailing Fax
- (909) 881-2711
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-11-2006
- Last Update Date
- 12-02-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- G75287
- License State
- CA
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| G75287 | OTHER (01) | CA | LICENSE |
| 00G752870 | MEDICAID (05) | CA | |
| 00G752871 | OTHER (01) | MEDICARE INDIVIDUAL PTAN | |
| ZZZ07161Z | OTHER (01) | MEDICARE GROUP PTAN |
Medicare Participation & PECOS Enrollment Status
Devin Mudge is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Coronary angioplasty and stenting
Coronary artery bypass graft (CABG)
Coronary angioplasty and stenting is a procedure to open narrowed or blocked heart arteries. A thin tube is inserted into a blood vessel, usually in the leg or arm, and guided to the heart. A small balloon at the end of the tube is inflated to widen the artery. A stent, a small wire mesh tube, may be placed in the artery to keep it open.
This service was performed for 1-10 patientsCoronary artery bypass graft (CABG) is a surgery to improve blood flow to your heart. It involves taking a blood vessel from another part of your body and using it to reroute blood around a blocked or narrowed artery in your heart. This can help reduce chest pain and minimize the risk of heart attacks.
This service was performed for 38 patientsReviews for DEVIN REED MUDGE M.D.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1194750778, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SAN BERNARDINO, CA 92404
SAN BERNARDINO, CA 92404
SAN BERNARDINO, CA 92404
SAN BERNARDINO, CA 92404
SAN BERNARDINO, CA 92404
SAN BERNARDINO, CA 92404
SAN BERNARDINO, CA 92404
SAN BERNARDINO, CA 92404
SAN BERNARDINO, CA 92404
SAN BERNARDINO, CA 92404
SAN BERNARDINO, CA 92404
SAN BERNARDINO, CA 92404
SAN BERNARDINO, CA 92404
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194750778, enumerated as an "individual" on July 11, 2006.
The provider is located at 401 E HIGHLAND AVE SUITE 251 SAN BERNARDINO, CA 92404 and the phone number is (909) 881-1614.
Specialist with taxonomy code 174400000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
