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IAN LUKE NOOL
NPI 1487205100
Speech-Language Pathologist in San Jose, CA

Active since September 24, 2019
911 BERN CT STE 130, SAN JOSE, CA 95112(408) 437-8864 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Ian Luke Nool NPPES

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

IAN LUKE NOOL (NPI 1487205100) is an individual speech-language pathologist provider in San Jose, California, licensed in California (30848) and active in the NPI registry since September 2019. He is a graduate of George Washington University School Of Medicine (2019).

NPPES Registry Identity

NPI1487205100
Entity TypeIndividualMale
Primary Taxonomy235Z00000X
Provider Legal NameIAN LUKE NOOL
Location Address911 BERN CT STE 130San Jose, CA 95112-1242
Mailing Address1241 Pecos WaySunnyvale, CA 94089-2301 · (408) 437-8864
Phone(408) 437-8864
Sole ProprietorYes
Medical School CMSGeorge Washington University School Of MedicineGraduated 2019
Enumeration DateSeptember 24, 2019
Last NPPES UpdateJanuary 9, 2024
NPPES CertifiedJanuary 9, 2024
✔ NPI 1487205100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in CA · 30848
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
911 BERN CT STE 130, San Jose, CA 95112
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ian Luke Nool is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618452368
PECOS Enrollment IDI20260331000823

Medicare Billing Reassignment

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

Permanente Medical Group Inc
6.3 mi
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1073606299 (408) 851-1000

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.

MS. AMY C HAUGHT MA CCC-SLP
Speech-Language Pathologist
911 BERN CT STE 130
SAN JOSE, CA 95112
Santa Clara County (408) 666-0355
SHAREEN DHILLON
Speech-Language Pathologist
911 BERN CT STE 130
SAN JOSE, CA 95112
Santa Clara County (408) 437-8864
MS. HARUKA YAMAGUCHI OTR/L
Occupational Therapist (Pediatrics)
911 BERN CT STE 130
SAN JOSE, CA 95112
Santa Clara County (408) 437-8864
JUANCHO MIGUEL SAN PEDRO
Specialist/Technologist (Speech-Language Assistant)
911 BERN CT STE 130
SAN JOSE, CA 95112
Santa Clara County (408) 437-8864
KEVIN MCKINNON
Specialist/Technologist (Speech-Language Assistant)
911 BERN CT STE 130
SAN JOSE, CA 95112
Santa Clara County (408) 437-8864
MRS. KIEU TU TRAN SEDAGHAT
Speech-Language Pathologist
911 BERN CT STE 130
SAN JOSE, CA 95112
Santa Clara County (408) 437-8864
MACIE ROSE ZAMUDIO
Speech-Language Pathologist
911 BERN CT STE 130
SAN JOSE, CA 95112
Santa Clara County (408) 437-8864
CLAUDIA L PRADO MA, CCC-SLP
Speech-Language Pathologist
911 BERN CT STE 130
SAN JOSE, CA 95112
Santa Clara County (408) 437-8864

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 Ian Nool's NPI number?

The NPI number for Ian Nool is 1487205100. It was assigned to this individual provider in the NPPES registry on September 24, 2019.

Where is Ian Nool located?

Ian Nool practices at 911 Bern Ct Ste 130, San Jose, CA 95112. The listed phone number is (408) 437-8864.

What is Ian Nool's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Ian Nool enrolled in Medicare?

Yes. Ian Nool is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ian Nool's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ian Nool 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 Ian Nool'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 Ian Nool was last updated on January 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.