KENNETH WAYNE HART M.D.
NPI 1689651671
Preventive Medicine - Public Health & General Preventive Medicine in San Bernardino, CA

Q: What is Kenneth Hart's NPI number?

The NPI number for Kenneth Hart is 1689651671. It was assigned to this individual provider in the NPPES registry on December 29, 2005.

Q: What is Kenneth Hart's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Public Health & General Preventive Medicine, with taxonomy code 2083P0901X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Hart was last updated on April 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since December 29, 2005PECOS Enrolled

1454 E 2ND ST, SAN BERNARDINO, CA 92408(909) 382-7146(909) 382-7101 Get Directions Write a Review

NPPES record last updated: April 15, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Kenneth Wayne Hart M.d. NPPES

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

KENNETH WAYNE HART M.D. (NPI 1689651671) is an individual public health & general preventive medicine provider in San Bernardino, California, licensed in California (G019894) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689651671

Entity TypeIndividualMale

Primary Taxonomy2083P0901X

Provider Legal NameKENNETH WAYNE HARTCredential: M.D.

Location Address1454 E 2ND STSan Bernardino, CA 92408-0118

Mailing Address1454 E 2nd StSan Bernardino, CA 92408-0118 · (909) 382-7146 · Fax (909) 382-7101

Phone(909) 382-7146

Fax(909) 382-7101

Sole ProprietorNo

Enumeration DateDecember 29, 2005

Last NPPES UpdateApril 15, 2013

✔ NPI 1689651671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Public Health & General Preventive MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083P0901X

License✔ Licensed in CA · G019894

Definition

Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.

1454 E 2ND ST, San Bernardino, CA 92408

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Other Identifiers 5

Other00G198940CA · Medi-cal Provider Number

Medicare PIN00GI98941CA

OtherJ891171CA · Inland Empire Health Plan

Medicare UPINE25258CA

OtherF141171CA · Inland Empire Health Plan

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth Wayne Hart M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Kenneth Hart reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Faculty Physicians And Surgeons Of Llusm

2.2 mi

Radiation Oncology

399 E 21ST ST
San Bernardino, CA 92404

Reassigned Medicare billing, California enrollment
2,584 clinicians in this Medicare group

NPI 1588273148 (909) 558-3012

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 92408 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SAC HEALTH SYSTEM

Clinic/Center (Federally Qualified Health Center (FQHC))