NOORI NOORI MD
NPI 1528565249
Student in an Organized Health Care Education/Training Program in Toledo, OH

Active since April 09, 2018PECOS EnrolledAccepts Medicare Assignment
3333 GLENDALE AVE, TOLEDO, OH 43614(419) 383-5502 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 29, 2021, Apr 9, 2018 (2 updates tracked since 2018).

About Noori Noori Md NPPES

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

NOORI NOORI MD (NPI 1528565249) is an individual student in an organized health care education/training program in Toledo, Ohio and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1528565249
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNOORI NOORICredential: MD
Location Address3333 GLENDALE AVEToledo, OH 43614-2426
Mailing Address3333 Glendale AveToledo, OH 43614-2426
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 9, 2018
Last NPPES UpdateNovember 29, 20212 updates tracked since enumeration
✔ NPI 1528565249 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.
3333 GLENDALE AVE, Toledo, OH 43614

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

Noori Noori 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 ID6800136680
PECOS Enrollment IDI20230926004350
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 Reassignments

2

Medicare enrollment records show Noori Noori reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
55497 VAN BUREN STREET
Coachella, CA 92236
  • Reassigned Medicare billing, California enrollment
  • 93 clinicians in this Medicare group
Health Maintenance Organization
43112 N 15TH ST
Lancaster, CA 93534
  • Reassigned Medicare billing, California enrollment
  • 13,921 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.

Pharmacist
3333 GLENDALE AVE
TOLEDO, OH 43614
Family Medicine
3333 GLENDALE AVE
TOLEDO, OH 43614
Family Medicine
3333 GLENDALE AVE
TOLEDO, OH 43614
Family Medicine
3333 GLENDALE AVE
TOLEDO, OH 43614
Pharmacist
3333 GLENDALE AVE
TOLEDO, OH 43614
Family Medicine
3333 GLENDALE AVE
TOLEDO, OH 43614
Student in an Organized Health Care Education/Training Program
3333 GLENDALE AVE
TOLEDO, OH 43614
Student in an Organized Health Care Education/Training Program
3333 GLENDALE AVE
TOLEDO, OH 43614

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 Noori Noori's NPI number?

The NPI number for Noori Noori is 1528565249. It was assigned to this individual provider in the NPPES registry on April 9, 2018.

Where is Noori Noori located?

Noori Noori practices at 3333 Glendale Ave, Toledo, OH 43614. The listed phone number is (419) 383-5502.

What is Noori Noori's specialty?

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

Is Noori Noori enrolled in Medicare?

Yes. Noori Noori 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 organizations bill Medicare for Noori Noori's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Noori Noori reassigns Medicare benefits to 2 organizations: Dap Health, Inc. (Coachella, CA) and Southern California Permanente Medical Group (Lancaster, CA). Each 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 Noori Noori'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 Noori Noori was last updated on November 29, 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.