NAGIB T. MIKHAEL (MD) – Psychiatry Physician, NPI 1609935279

NAGIB T. MIKHAEL (MD) is a healthcare provider. based in Fontana, California. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. A43858 (CA). The NPI Number for NAGIB T. MIKHAEL (MD) is 1609935279

Main info

Male
50 Years Of Experience
Accepts Medicare Assignment
Name
NAGIB T. MIKHAEL (MD)
NPI
1609935279
Phone
(909) 427-3910
Address
9961 SIERRA AVE
Enumeration Date
8 December 2006
Last Update Date
2 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9094275000
Graduation Year
1976 (50 years ago)
PAC ID
3577507086
Group Practice PAC ID
6002729175
Professional Enrollment ID
I20050615000824
Address ID
CA923356720FO9961XAVEX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

4,134 PSYCHIATRY in CA

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Provider Addresses for NAGIB T. MIKHAEL (MD)

  • Kaiser Permanente Fontana Medical Center, 9961, Sierra Avenue, Fontana, San Bernardino County, California, 92335, United States

    FONTANA, CA 923356720

    Phone: (909) 427-3910

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-06-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050615000824IPsychiatryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92335)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002729175View full group profile
NameSpecialtyState
U R O L O G YOH
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Internal Medicine, GastroenterologyCA
Physician AssistantCA
Emergency MedicineNC
O P H T H A L M O L O G YCA
Anesthesiology, Pain ManagementNH
Family Practice, Sports MedicineCA

Reviews

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Frequently asked questions

What NPI should I save for NAGIB T. MIKHAEL (MD)?
Save NPI 1609935279 if you need a stable reference for NAGIB T. MIKHAEL (MD).
Is NAGIB T. MIKHAEL (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is NAGIB T. MIKHAEL (MD)?
The page reflects Psychiatry Physician for NAGIB T. MIKHAEL (MD). Clinical services aligned with this taxonomy classification.
Where is NAGIB T. MIKHAEL (MD)'s primary listing?
We display Fontana, California because that is what the record indicates for NAGIB T. MIKHAEL (MD).
What if Fontana, California seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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