MARINA DERGUN MD
NPI 1396935458
Internal Medicine in San Jose, CA
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
Specialties & Licenses
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Marina Dergun reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Clara, CA 95051
- Reassigned Medicare billing, California enrollment
- 20,078 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.
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.
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.
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.
Which organization bills Medicare for Marina Dergun's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marina Dergun reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, 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 Marina Dergun'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 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.
# Marina Dergun, MD · NPI 1396935458
Internal Medicine physician in San Jose, California. Individual provider, active in the CMS NPPES registry since July 25, 2007.
## Identity
- **NPI:** 1396935458 (Entity type: Individual)
- **Enumerated:** July 25, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** A93428 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 250 HOSPITAL PKWY, HBS, San Jose, CA 95119-1103
- **Phone:** (408) 972-7412
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1073606299, Santa Clara, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, San Diego School Of Medicine, class of 2004
## Record status
- **NPPES last updated:** December 14, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1396935458) · Data from the CMS NPPES public registry.