THERESA WIN
NPI 1538401856
Internal Medicine in San Bernardino, CA

Active since March 25, 2013PECOS EnrolledAccepts Medicare Assignment
1805 MEDICAL CENTER DR, SAN BERNARDINO, CA 92411(909) 887-6333 Get Directions Write a Review

NPPES record last updated: December 23, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 23, 2021, Aug 1, 2018, Sep 17, 2016 (3 updates tracked since 2016).

About Theresa Win NPPES

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

THERESA WIN (NPI 1538401856) is an individual internal medicine provider in San Bernardino, California, licensed in California (A138793) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fontana, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1538401856
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameTHERESA WIN
Location Address1805 MEDICAL CENTER DRSan Bernardino, CA 92411
Mailing Address12369 High Horse DrRancho Cucamonga, CA 91739-9554
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMarch 25, 2013
Last NPPES UpdateDecember 23, 20213 updates tracked since enumeration
NPPES CertifiedDecember 23, 2021
✔ NPI 1538401856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A138793
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1805 MEDICAL CENTER DR, San Bernardino, CA 92411

Other Names 1

Former Name (1)Thae Mar

Secondary Practice Location 1

Location 19961 Sierra AveFontana, CA 92335-6720 · Phone (909) 427-5000

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

Theresa Win 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 ID42507428
PECOS Enrollment IDI20170728001751
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 Reassignments

3

Medicare enrollment records show Theresa Win reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
2101 N WATERMAN AVE
San Bernardino, CA 92404
  • Reassigned Medicare billing, California enrollment
  • 1,216 clinicians in this Medicare group
Health Maintenance Organization
9961 SIERRA AVE
Fontana, CA 92335
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1952333460 (California)
  • 5,228 clinicians in this Medicare group
Psychiatric Hospital
11401 BLOOMFIELD AVE
Norwalk, CA 90650
  • Reassigned Medicare billing, California enrollment
  • 755 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 92411 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
91%68 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Physician Assistant
1805 MEDICAL CENTER DR
SAN BERNARDINO, CA 92411
Home Health
1805 MEDICAL CENTER DR
SAN BERNARDINO, CA 92411
Emergency Medicine
1805 MEDICAL CENTER DR
SAN BERNARDINO, CA 92411
Internal Medicine
1805 MEDICAL CENTER DR
SAN BERNARDINO, CA 92411
Anesthesiology
1805 MEDICAL CENTER DR
SAN BERNARDINO, CA 92411
Registered Nurse (Emergency)
1805 MEDICAL CENTER DR
SAN BERNARDINO, CA 92411
Psychiatry & Neurology (Psychiatry)
1805 MEDICAL CENTER DR
SAN BERNARDINO, CA 92411
Physician Assistant
1805 MEDICAL CENTER DR
SAN BERNARDINO, CA 92411

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 Theresa Win's NPI number?

The NPI number for Theresa Win is 1538401856. It was assigned to this individual provider in the NPPES registry on March 25, 2013. The provider is also known as Thae Mar.

Where is Theresa Win located?

Theresa Win practices at 1805 Medical Center Dr, San Bernardino, CA 92411. The listed phone number is (909) 887-6333.

What is Theresa Win's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Theresa Win enrolled in Medicare?

Yes. Theresa Win 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 organizations bill Medicare for Theresa Win's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Win reassigns Medicare benefits to 3 organizations: Inpatient Specialists Of California, PC (San Bernardino, CA), Southern California Permanente Medical Group (Fontana, CA) and Department Of State Hospitals (Norwalk, CA). Each 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 Theresa Win'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 Theresa Win was last updated on December 23, 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.