MARINA DERGUN MD
NPI 1396935458
Internal Medicine in San Jose, CA

Active since July 25, 2007PECOS EnrolledAccepts Medicare Assignment
250 HOSPITAL PKWY, HBS, SAN JOSE, CA 95119(408) 972-7412 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marina Dergun Md NPPES

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

MARINA DERGUN MD (NPI 1396935458) is an individual internal medicine provider in San Jose, California, licensed in California (A93428) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (2004).

NPPES Registry Identity

NPI1396935458
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMARINA DERGUNCredential: MD
Location Address250 HOSPITAL PKWY, HBSSan Jose, CA 95119-1103
Mailing Address751 S Bascom Ave, Internal Medicine DeptSan Jose, CA 95128-2604 · (408) 885-5000
Sole ProprietorNo
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 2004
Enumeration DateJuly 25, 2007
Last NPPES UpdateDecember 14, 2021
NPI 1396935458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · A93428
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
250 HOSPITAL PKWY, San Jose, CA 95119

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Marina Dergun 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 ID5496842213
PECOS Enrollment IDI20071025000689
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95119 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$156.67 typical visit price
range $70.37 – $206.04
Typical copayment $39.16 (range $17.59 – $51.51)
Most-billed visit code 99204
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Physical Therapist
250 HOSPITAL PKWY
SAN JOSE, CA 95119
Internal Medicine
250 HOSPITAL PKWY, 260 INTERNATIONAL CIRCLE
SAN JOSE, CA 95119
Physical Therapist
250 HOSPITAL PKWY
SAN JOSE, CA 95119
Psychiatry & Neurology (Psychiatry)
250 HOSPITAL PKWY
SAN JOSE, CA 95119
Family Medicine
250 HOSPITAL PKWY
SAN JOSE, CA 95119
Pharmacist
250 HOSPITAL PKWY
SAN JOSE, CA 95119
Anesthesiology (Pain Medicine)
250 HOSPITAL PKWY
SAN JOSE, CA 95119
Pharmacist (Psychiatric)
250 HOSPITAL PKWY
SAN JOSE, CA 95119

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 Marina Dergun's NPI number?

The NPI number for Marina Dergun is 1396935458. It was assigned to this individual provider in the NPPES registry on July 25, 2007.

Where is Marina Dergun located?

Marina Dergun practices at 250 Hospital Pkwy Hbs, San Jose, CA 95119. The listed phone number is (408) 972-7412.

What is Marina Dergun's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Marina Dergun enrolled in Medicare?

Yes. Marina Dergun 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.

When was this NPI record last updated?

The NPPES record for Marina Dergun was last updated on December 14, 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.