DR. ADEBA TAYSEER MOHAMMAD DO
NPI 1831689470
Internal Medicine - Cardiovascular Disease in San Bernardino, CA

Active since May 17, 2018PECOS EnrolledAccepts Medicare Assignment
1003 E BRIER DR, SAN BERNARDINO, CA 92408(909) 382-7100 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 24, 2026, May 28, 2019, May 17, 2018 (3 updates tracked since 2018).

About Dr. Adeba Tayseer Mohammad Do NPPES

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

DR. ADEBA TAYSEER MOHAMMAD DO (NPI 1831689470) is an individual cardiovascular disease provider in San Bernardino, California, licensed in California (20A19789) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lakeport, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1831689470
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameDR. ADEBA TAYSEER MOHAMMADCredential: DO
Location Address1003 E BRIER DRSan Bernardino, CA 92408-2817
Mailing Address1003 E Brier DrSan Bernardino, CA 92408-2817
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 17, 2018
Last NPPES UpdateMarch 24, 20263 updates tracked since enumeration
NPPES CertifiedMarch 24, 2026
✔ NPI 1831689470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in CA · 20A19789
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1003 E BRIER DR, San Bernardino, CA 92408

Secondary Practice Location 1

Location 15176 Hill Rd ELakeport, CA 95453-6357 · Phone (707) 262-5000

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

Dr. Adeba Tayseer Mohammad Do 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 ID9830557925
PECOS Enrollment IDI20230622000151
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 Adeba Mohammad reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
250 E CAROLINE ST STE J
San Bernardino, CA 92408
  • Reassigned Medicare billing, California enrollment
  • 2,584 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
1454 E 2ND ST
San Bernardino, CA 92408
  • Reassigned Medicare billing, California enrollment
  • 455 clinicians in this Medicare group
Health Maintenance Organization
9961 SIERRA AVE
Fontana, CA 92335
  • Reassigned Medicare billing, California enrollment
  • 5,228 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 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
$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
$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 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1003 E BRIER DR
SAN BERNARDINO, CA 92408
Dentist (General Practice)
1003 E BRIER DR
SAN BERNARDINO, CA 92408
Social Worker (Clinical)
1003 E BRIER DR
SAN BERNARDINO, CA 92408
Student in an Organized Health Care Education/Training Program
1003 E BRIER DR
SAN BERNARDINO, CA 92408
Internal Medicine
1003 E BRIER DR
SAN BERNARDINO, CA 92408
Marriage & Family Therapist
1003 E BRIER DR
SAN BERNARDINO, CA 92408
Family Medicine
1003 E BRIER DR
SAN BERNARDINO, CA 92408
Clinic/Center (Federally Qualified Health Center (FQHC))
1003 E BRIER DR
SAN BERNARDINO, CA 92408

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 Adeba Mohammad's NPI number?

The NPI number for Adeba Mohammad is 1831689470. It was assigned to this individual provider in the NPPES registry on May 17, 2018.

Where is Adeba Mohammad located?

Adeba Mohammad practices at 1003 E Brier Dr, San Bernardino, CA 92408. The listed phone number is (909) 382-7100.

What is Adeba Mohammad's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Adeba Mohammad enrolled in Medicare?

Yes. Adeba Mohammad 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 Adeba Mohammad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adeba Mohammad reassigns Medicare benefits to 3 organizations: Faculty Physicians And Surgeons Of Llusm (San Bernardino, CA), Sac Health System (San Bernardino, CA) and Southern California Permanente Medical Group (Fontana, 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 Adeba Mohammad'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 Adeba Mohammad was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.