Abdul Shukoor Enayat, MD in Victorville, CA - Medicare Internal Medicine

Abdul Shukoor Enayat, MD is a medicare enrolled "Internal Medicine" physician in Victorville, California. His current practice location is 12550 Hesperia Rd Ste 100, Victorville, California. You can reach out to his office (for appointments etc.) via phone at (760) 241-6666.

Abdul Shukoor Enayat is licensed to practice in California (license number C150664) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1255372181.

Contact Information

	Abdul Shukoor Enayat, MD
	12550 Hesperia Rd Ste 100, Victorville, CA 92395-5873
	(760) 241-6666
	(760) 947-5619

Map and Direction

Physician's Profile

Full Name	Abdul Shukoor Enayat
Gender	Male
Speciality	Internal Medicine
Location	12550 Hesperia Rd Ste 100, Victorville, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255372181
Provider Enumeration Date: 06/10/2006
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 5294708624
Enrollment ID: I20040819000782

Medical Identifiers

Medical identifiers for Abdul Shukoor Enayat such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255372181	NPI	-	NPPES
P00614804	Other	TN	RAILROAD MEDICARE PTAN
44D0984814	Other	TN	CLIA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MC16944 (Tennessee)	Secondary
207R00000X	Internal Medicine	C150664 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Abdul Shukoor Enayat allows following entities to bill medicare on his behalf.

Entity Name	State Of Tennessee
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487791315 PECOS PAC ID: 5698687077 Enrollment ID: O20031104000309

Entity Name	Sumner Medical Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871622779 PECOS PAC ID: 5193639680 Enrollment ID: O20031118000881

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Abdul Shukoor Enayat is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Abdul Shukoor Enayat, MD 200 W Center Street Promenade Ste 400, Anaheim, CA 92805-3960 Ph: (714) 449-4800	Abdul Shukoor Enayat, MD 12550 Hesperia Rd Ste 100, Victorville, CA 92395-5873 Ph: (760) 241-6666

Reviews and Comments

Internal Medicine Doctors in Victorville, CA

Neel Kishor Kapasi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 16850 Bear Valley Rd Ste 105, Victorville, CA 92395 Phone: 760-241-8000 Fax: 760-241-0201
Archna Sood, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12998 Hesperia Rd, Suite 101, Victorville, CA 92395 Phone: 760-955-2828 Fax: 760-955-2488
Dr. Esther Abarcar Fermin, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 15203 11th St Ste A, Victorville, CA 92395 Phone: 760-245-6455 Fax: 760-245-6455
Charbel Aoun, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000
Om Parkash Sood, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12675 Hesperia Rd, Suite 101, Victorville, CA 92395 Phone: 760-955-2828 Fax: 760-955-2488
Dr. Nanda Biswas, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12677 Hesperia Rd, Suite 170, Victorville, CA 92395 Phone: 760-952-0040 Fax: 760-952-9163
Arash Milani, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12740 Hesperia Rd Ste B, Victorville, CA 92395 Phone: 760-713-6969 Fax: 760-245-9448

Abdul Shukoor Enayat, MD - Medicare Internal Medicine in Victorville, CA