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ABDUL SADAT KANU M.D.
NPI 1801039292
Anesthesiology - Pain Medicine in Victorville, CA

Active since April 14, 2009PECOS EnrolledAccepts Medicare Assignment
12830 HESPERIA RD STE C, VICTORVILLE, CA 92395(760) 684-8999(760) 684-8111 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 4, 2026, Dec 5, 2024 (2 updates tracked since 2024).

About Abdul Sadat Kanu M.d. NPPES

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

ABDUL SADAT KANU M.D. (NPI 1801039292) is an individual pain medicine provider in Victorville, California, licensed in California (A126557) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS and is a graduate of University Of California, San Francisco School Of Medicine (2009).

NPPES Registry Identity

NPI1801039292
Entity TypeIndividualMale
Primary Taxonomy207LP2900X
Provider Legal NameABDUL SADAT KANUCredential: M.D.
Location Address12830 HESPERIA RD STE CVictorville, CA 92395-7788
Mailing Address12830 Hesperia Rd Ste A-dVictorville, CA 92395-7788 · (760) 684-8999 · Fax (760) 684-8111
Phone(760) 684-8999
Fax(760) 684-8111
Sole ProprietorYes
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 2009
Enumeration DateApril 14, 2009
Last NPPES UpdateMarch 4, 20262 updates tracked since enumeration
NPPES CertifiedMarch 4, 2026
✔ NPI 1801039292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License✔ Licensed in CA · A126557
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
12830 HESPERIA RD STE C, Victorville, CA 92395
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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

Abdul Sadat Kanu M.d. 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 ID2961620224
PECOS Enrollment IDI20140827002811
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 Abdul Kanu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tobias Moeller-Bertram MD Corporation
70 mi
Pain Medicine
36101 BOB HOPE DR STE A
Rancho Mirage, CA 92270
  • Reassigned Medicare billing, California enrollment
  • 75 clinicians in this Medicare group
NPI 1922440684 (760) 321-1315

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
76 services14 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
30 services22 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
29 services29 patients
Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
22 services22 patients

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 Abdul Kanu's NPI number?

The NPI number for Abdul Kanu is 1801039292. It was assigned to this individual provider in the NPPES registry on April 14, 2009.

Where is Abdul Kanu located?

Abdul Kanu practices at 12830 Hesperia Rd Ste C, Victorville, CA 92395. The listed phone number is (760) 684-8999.

What is Abdul Kanu's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Abdul Kanu enrolled in Medicare?

Yes. Abdul Kanu 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 organization bills Medicare for Abdul Kanu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abdul Kanu reassigns Medicare benefits to Tobias Moeller-Bertram MD Corporation (Rancho Mirage, 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 Abdul Kanu'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 Abdul Kanu was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.