DR. KHALED AHMED ALY MAWAHEB M.D.
NPI 1356492888
Family Medicine in Covina, CA
About Dr. Khaled Ahmed Aly Mawaheb M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KHALED AHMED ALY MAWAHEB M.D. (NPI 1356492888) is an individual family medicine provider in Covina, California, licensed in California (A96423) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Khaled Ahmed Aly Mawaheb M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Khaled Mawaheb reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Covina, CA 91722
- Reassigned Medicare billing, California enrollment
- 9 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91722 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COVINA, CA 91722
COVINA, CA 91722
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 Khaled Mawaheb's NPI number?
The NPI number for Khaled Mawaheb is 1356492888. It was assigned to this individual provider in the NPPES registry on January 12, 2007.
Where is Khaled Mawaheb located?
Khaled Mawaheb practices at 1433 N Hollenbeck Ave Suite 200, Covina, CA 91722. The listed phone number is (626) 331-2209.
What is Khaled Mawaheb's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Khaled Mawaheb enrolled in Medicare?
Yes. Khaled Mawaheb is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Khaled Mawaheb's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Khaled Mawaheb reassigns Medicare benefits to Mayflower Medical Group, Inc. (Covina, 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 Khaled Mawaheb'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 Khaled Mawaheb was last updated on December 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dr. Khaled Ahmed Aly Mawaheb, M.D. · NPI 1356492888
Family Medicine physician in Covina, California. Individual provider, active in the CMS NPPES registry since January 12, 2007.
## Identity
- **NPI:** 1356492888 (Entity type: Individual)
- **Enumerated:** January 12, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A96423 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1433 N HOLLENBECK AVE, SUITE 200, Covina, CA 91722-1558
- **Phone:** (626) 331-2209
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mayflower Medical Group, Inc. (NPI 1932146370, Covina, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 14, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1356492888) · Data from the CMS NPPES public registry.