DR. PHALGUN NORI M.D.
NPI 1043547656
Physical Medicine & Rehabilitation - Brain Injury Medicine in San Jose, CA

Q: What is Phalgun Nori's NPI number?

The NPI number for Phalgun Nori is 1043547656. It was assigned to this individual provider in the NPPES registry on November 3, 2009.

Q: What is Phalgun Nori's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Brain Injury Medicine, with taxonomy code 2081P0301X.

Q: When was this NPI record last updated?

The NPPES record for Phalgun Nori was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since November 03, 2009PECOS EnrolledAccepts Medicare Assignment

80.58/100

CMS Quality Rating

751 S BASCOM AVE, SAN JOSE, CA 95128(516) 428-9653 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 19, 2026, Nov 2, 2021 (2 updates tracked since 2021).

On this page

About Dr. Phalgun Nori M.d. NPPES

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

DR. PHALGUN NORI M.D. (NPI 1043547656) is an individual brain injury medicine provider in San Jose, California, licensed in Texas (W8064) and active in the NPI registry since November 2009. He is enrolled in Medicare PECOS, maintains a secondary practice location in Houston, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1043547656

Entity TypeIndividualMale

Primary Taxonomy2081P0301X

Provider Legal NameDR. PHALGUN NORICredential: M.D.

Location Address751 S BASCOM AVESan Jose, CA 95128-2604

Mailing Address1333 Moursund StHouston, TX 77030-3405 · (713) 797-5942 · Fax (713) 799-5095

Phone(516) 428-9653

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateNovember 3, 2009

Last NPPES UpdateAugust 19, 20262 updates tracked since enumeration

NPPES CertifiedAugust 19, 2026

✔ NPI 1043547656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Brain Injury MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081P0301X

License✔ Licensed in TX · W8064

Definition

A Brain Injury Medicine physician specializes in disorders of brain function due to injury and disease. These disorders encompass a range of medical, physical, neurologic, cognitive, sensory, and behavioral disorders that result in psychosocial, educational, and vocational consequences.

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License W8064 (TX)

751 S BASCOM AVE, San Jose, CA 95128

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Secondary Practice Location 1

Location 11333 Moursund StHouston, TX 77030-3405 · Phone (713) 797-5942 · Fax (713) 799-5095

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. Phalgun Nori 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 ID8022287820

PECOS Enrollment IDI20210805001685

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 Reassignment

Medicare enrollment records show Phalgun Nori reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Santa Clara

Same address

Anesthesiology

751 S. BASCOM AVENUE
San Jose, CA 95128

Reassigned Medicare billing, California enrollment
Also billed through NPI 1629301346 (California)
2,460 clinicians in this Medicare group

NPI 1588721500 (408) 885-5000

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

262 services94 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

232 services56 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

41 services40 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

37 services35 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

35 services34 patients

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.

16 services13 patients

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.

80.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

67.43

Promoting Interoperability

100

Improvement Activities

Cost

46.5

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.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

3 suppliers16 claims16 services$30.19 avg. paid by Medicare

Manual wheelchair accessory, anti-tipping device, each E0971

DME-Wheelchairs · category DD021N

2 suppliers14 claims22 services$1.99 avg. paid by Medicare

Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each E0973

DME-Wheelchairs · category DD021N

2 suppliers17 claims33 services$2.93 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

3 suppliers17 claims17 services$11.45 avg. paid by Medicare

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

3 suppliers12 claims12 services$20.96 avg. paid by Medicare

High strength, lightweight wheelchair K0004

DME-Wheelchairs · category DD000N

2 suppliers29 claims29 services$19.14 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 20

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

MS. TRANG N NGUYEN PHARM.D

Pharmacist

751 S BASCOM AVE
SAN JOSE, CA 95128

Santa Clara County (408) 885-2360

DR. ILANA TRAYNIS M.D.

Student in an Organized Health Care Education/Training Program

751 S BASCOM AVE, DEPARTMENT OF MEDICINE
SAN JOSE, CA 95128

Santa Clara County (408) 885-6300

DR. ABBY KATHERINE SCURFIELD MD

Student in an Organized Health Care Education/Training Program

751 S BASCOM AVE
SAN JOSE, CA 95128

Santa Clara County (408) 885-5000

GABRIELLE MINEHAN CCP

Perfusionist

751 S BASCOM AVE
SAN JOSE, CA 95128

Santa Clara County (408) 885-5000

PRIYA NIGAM MD

Student in an Organized Health Care Education/Training Program

751 S BASCOM AVE
SAN JOSE, CA 95128

Santa Clara County (408) 885-5000

CAROLINE DENISON JORDAN

Student in an Organized Health Care Education/Training Program

751 S BASCOM AVE
SAN JOSE, CA 95128

Santa Clara County (408) 885-5000

MICHAEL NATHANSON MD, PHD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

751 S BASCOM AVE, CARDIAC SURGERY DEPT
SAN JOSE, CA 95128

Santa Clara County (408) 885-5000

EAMONN PATRICK DUNPHY MD

Internal Medicine

751 S BASCOM AVE, RADIATION ONCOLOGY
SAN JOSE, CA 95128

Santa Clara County (408) 885-4150

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 Phalgun Nori's NPI number?

The NPI number for Phalgun Nori is 1043547656. It was assigned to this individual provider in the NPPES registry on November 3, 2009.

Where is Phalgun Nori located?

Phalgun Nori practices at 751 S Bascom Ave, San Jose, CA 95128. The listed phone number is (516) 428-9653.

What is Phalgun Nori's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Brain Injury Medicine, with taxonomy code 2081P0301X.

Is Phalgun Nori enrolled in Medicare?

Yes. Phalgun Nori 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 organization bills Medicare for Phalgun Nori's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Phalgun Nori reassigns Medicare benefits to County Of Santa Clara (San Jose, CA). The 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 Phalgun Nori'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 Phalgun Nori was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.