SOOD KISRA, MD., PC.
NPI 1558839779
Internal Medicine - Cardiovascular Disease in San Bernardino, CA
About Sood Kisra, Md., Pc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOOD KISRA, MD., PC. (NPI 1558839779) is a healthcare organization registered as a cardiovascular disease in San Bernardino, California and active in the NPI registry since November 2018. The organization maintains a secondary practice location in Rancho Cucamonga and lists Sood Kisra, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sood Kisra, Md., Pc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Sood Kisra, MD., PC., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Sood Kisra, MD., PC.'s NPI number?
The NPI number for Sood Kisra, MD., PC. is 1558839779. It was assigned to this organization in the NPPES registry on November 6, 2018.
Where is Sood Kisra, MD., PC. located?
Sood Kisra, MD., PC. is located at 1800 Western Ave Ste 302, San Bernardino, CA 92411. The listed phone number is (909) 713-2323.
What is Sood Kisra, MD., PC.'s specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Sood Kisra, MD., PC. enrolled in Medicare?
Yes. Sood Kisra, MD., PC. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sood Kisra, MD., PC.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Cardiovascular Disease (Cardiology)) reassigns their Medicare billing to Sood Kisra, MD., PC.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Sood Kisra, MD., PC. was last updated on April 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Sood Kisra, Md., Pc. · NPI 1558839779
Cardiovascular Disease organization in San Bernardino, California. Organization record, active in the CMS NPPES registry since November 6, 2018.
## Identity
- **NPI:** 1558839779 (Entity type: Organization)
- **Enumerated:** November 6, 2018
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **Organization subpart:** No
- **Authorized official:** Sood Kisra, OWNER
## Practice location
- **Address:** 1800 WESTERN AVE STE 302, San Bernardino, CA 92411-1354
- **Phone:** (909) 713-2323
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Cardiovascular Disease (Cardiology)) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 22, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1558839779) · Data from the CMS NPPES public registry.