NICOLE DUH MD
NPI 1104272525
Student in an Organized Health Care Education/Training Program in Fontana, CA

Active since May 05, 2016PECOS EnrolledAccepts Medicare Assignment
17234 VALLEY BLVD, FONTANA, CA 92335(909) 427-5000 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nicole Duh Md NPPES

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

NICOLE DUH MD (NPI 1104272525) is an individual student in an organized health care education/training program in Fontana, California and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1104272525
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNICOLE DUHCredential: MD
Location Address17234 VALLEY BLVDFontana, CA 92335-6720
Mailing Address9961 Sierra AveFontana, CA 92335-6720
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 5, 2016
Last NPPES UpdateDecember 8, 2021
NPPES CertifiedDecember 8, 2021
✔ NPI 1104272525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
17234 VALLEY BLVD, Fontana, CA 92335

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

Nicole Duh Md 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 ID4183970130
PECOS Enrollment IDI20180703003344
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 Nicole Duh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Maintenance Organization
9961 SIERRA AVE
Fontana, CA 92335
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1952333460 (California)
  • 5,228 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Student in an Organized Health Care Education/Training Program
17234 VALLEY BLVD
FONTANA, CA 92335
Psychiatry & Neurology (Psychiatry)
17234 VALLEY BLVD, BUILDING A
FONTANA, CA 92335
Student in an Organized Health Care Education/Training Program
17234 VALLEY BLVD, BUILDING A
FONTANA, CA 92335
Family Medicine
17234 VALLEY BLVD, BUILDING A
FONTANA, CA 92335
Family Medicine
17234 VALLEY BLVD
FONTANA, CA 92335
Student in an Organized Health Care Education/Training Program
17234 VALLEY BLVD, BUILDING A
FONTANA, CA 92335
Student in an Organized Health Care Education/Training Program
17234 VALLEY BLVD
FONTANA, CA 92335
Student in an Organized Health Care Education/Training Program
17234 VALLEY BLVD, BUILDING A
FONTANA, CA 92335

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 Nicole Duh's NPI number?

The NPI number for Nicole Duh is 1104272525. It was assigned to this individual provider in the NPPES registry on May 5, 2016.

Where is Nicole Duh located?

Nicole Duh practices at 17234 Valley Blvd, Fontana, CA 92335. The listed phone number is (909) 427-5000.

What is Nicole Duh's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nicole Duh enrolled in Medicare?

Yes. Nicole Duh 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 Nicole Duh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Duh reassigns Medicare benefits to Southern California Permanente Medical Group (Fontana, 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 Nicole Duh'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 Nicole Duh was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.