DR ANIL DATE MD
NPI 1912411885
Family Medicine in Mission Hills, CA
About Dr Anil Date Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR ANIL DATE MD (NPI 1912411885) is a healthcare organization registered as a family medicine in Mission Hills, California and active in the NPI registry since November 2017. The organization lists Anil Date, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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)
Dr Anil Date Md 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 Dr Anil Date MD, 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 Dr Anil Date MD's NPI number?
The NPI number for Dr Anil Date MD is 1912411885. It was assigned to this organization in the NPPES registry on November 29, 2017.
Where is Dr Anil Date MD located?
Dr Anil Date MD is located at 11550 Indian Hills Rd Ste 350, Mission Hills, CA 91345. The listed phone number is (818) 365-6632.
What is Dr Anil Date MD's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Dr Anil Date MD enrolled in Medicare?
Yes. Dr Anil Date MD is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dr Anil Date MD?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Dr Anil Date MD. 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 Dr Anil Date MD was last updated on November 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Dr Anil Date Md · NPI 1912411885
Family Medicine organization in Mission Hills, California. Organization record, active in the CMS NPPES registry since November 29, 2017.
## Identity
- **NPI:** 1912411885 (Entity type: Organization)
- **Enumerated:** November 29, 2017
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Anil Date, PRESIDENT
## Practice location
- **Address:** 11550 INDIAN HILLS RD STE 350, Mission Hills, CA 91345-1252
- **Phone:** (818) 365-6632
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 29, 2017
- **Other identifiers:** Other A125970 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1912411885) · Data from the CMS NPPES public registry.