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ALMOUTAZ BELLAH SHAKALLY M.D.
NPI 1861632168
Internal Medicine - Endocrinology, Diabetes & Metabolism in San Bernardino, CA

Active since February 26, 2009PECOS EnrolledAccepts Medicare Assignment
87.95/100
CMS Quality Rating
399 E HIGHLAND AVE STE 227, SAN BERNARDINO, CA 92404(612) 616-3963 Get Directions Write a Review

NPPES record last updated: November 12, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 12, 2020, Jun 6, 2019, Jun 13, 2018 (3 updates tracked since 2018).

About Almoutaz Bellah Shakally M.d. NPPES

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

ALMOUTAZ BELLAH SHAKALLY M.D. (NPI 1861632168) is an individual endocrinology, diabetes & metabolism provider in San Bernardino, California, licensed in California (A154138) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1861632168
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameALMOUTAZ BELLAH SHAKALLYCredential: M.D.
Location Address399 E HIGHLAND AVE STE 227San Bernardino, CA 92404-3851
Mailing Address5450 Jefferson Ave Ste 2Chino, CA 91710-3522 · (909) 882-1210
Phone(612) 616-3963
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateFebruary 26, 2009
Last NPPES UpdateNovember 12, 20203 updates tracked since enumeration
NPPES CertifiedNovember 12, 2020
✔ NPI 1861632168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in CA · A154138
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License 39303 (IA), MD-39303 (IA), 63294 (MN)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
399 E HIGHLAND AVE STE 227, San Bernardino, CA 92404
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13850 Park Nicollet BlvdSt Louis Park, MN 55416 · Phone (952) 993-3123
Location 25450 Jefferson Ave Ste 2Chino, CA 91710-3522 · Phone (909) 882-1210

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

Almoutaz Bellah Shakally 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 ID5092986109
PECOS Enrollment IDI20191008003636
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

2

Medicare enrollment records show Almoutaz Shakally reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Almoutaz Bellah Shakally MD, Inc
25 mi
Endocrinology, Diabetes & Metabolism
802 MAGNOLIA AVE STE 200
Corona, CA 92879
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
NPI 1821612565 (951) 444-7006
Bashar G Saad MD Inc
30 mi
Endocrinology, Diabetes & Metabolism
615 E FOOTHILL BLVD STE C
San Dimas, CA 91773
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group
NPI 1881906568 (626) 335-8094

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 6

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.

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.
484 services238 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
111 services58 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.
61 services61 patients
Ultrasound scan of head and neck soft tissue 76536
An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.
41 services41 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
13 services13 patients
Fine needle aspiration biopsy using ultrasound guidance, first growth 10005
Fine needle aspiration biopsy with ultrasound guidance is a procedure where a thin needle is inserted into a growth to extract a small sample. Ultrasound helps accurately locate the growth. This sample is then analyzed to determine the nature of the growth.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92404 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.

87.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.16
Improvement Activities40
Cost63.95

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
3 suppliers12 claims138 services$18.23 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
3 suppliers12 claims320 services$2.36 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers38 claims93 services$6.23 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers27 claims29 services$0.98 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
7 suppliers250 claims250 services$181.75 avg. paid by Medicare
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system K0554
DME-Other DME · category DE017N
3 suppliers15 claims15 services$204.55 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

TONY KASTOON M.D.
Internal Medicine
399 E HIGHLAND AVE STE 227
SAN BERNARDINO, CA 92404
San Bernardino County (909) 882-1210
ALLAN G KAVALICH MD INC
Internal Medicine (Nephrology)
399 E HIGHLAND AVE STE 227
SAN BERNARDINO, CA 92404
San Bernardino County (909) 381-1595
DR. ALLAN G KAVALICH M.D.
Internal Medicine (Nephrology)
399 E HIGHLAND AVE STE 227
SAN BERNARDINO, CA 92404
San Bernardino County (909) 381-1595

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 Almoutaz Shakally's NPI number?

The NPI number for Almoutaz Shakally is 1861632168. It was assigned to this individual provider in the NPPES registry on February 26, 2009.

Where is Almoutaz Shakally located?

Almoutaz Shakally practices at 399 E Highland Ave Ste 227, San Bernardino, CA 92404. The listed phone number is (612) 616-3963.

What is Almoutaz Shakally's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Almoutaz Shakally enrolled in Medicare?

Yes. Almoutaz Shakally 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 Almoutaz Shakally's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Almoutaz Shakally reassigns Medicare benefits to 2 organizations: Almoutaz Bellah Shakally MD, Inc (Corona, CA) and Bashar G Saad MD Inc (San Dimas, 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 Almoutaz Shakally'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 Almoutaz Shakally was last updated on November 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.