Active NPI
Justin Varghese
- Internal Medicine Physician
- Richmond, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01077384A
- Practice address
- 1100 Reid Pkwy
Richmond, IN 47374-1157 - Phone
- (765) 983-3000
- NPI assigned
- Jun 9, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25429 | WV | |
| Internal Medicine Physician | 207R00000X | 4301096387 | MI | |
| Internal Medicine Physician | 207R00000X | 01077384A | IN | Primary |
Addresses
Primary practice location
1100 Reid Pkwy
Richmond, IN 47374-1157
Mailing address
1100 Reid Parkway
Medical Staff Services
Richmond, IN 47374
Phone (765) 935-8802
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300032913 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jvarghese386067@ReidHealth.direct-ci.com | Reid Physician Associates, Inc. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, IN, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 Reid Pkwy
Richmond, IN 47374-1157
Phone (765) 983-3122
Hospital & facility affiliations
- Reid Health
- Wayne Hospital
- Kettering Health Dayton
- Ascension St Vincent Randolph
- Rush Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301096387 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apogee Medical Group Ohio Inc | Internal Medicine | Current | Accepting new patients |
| Reid Physician Associates, Inc | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Richland County, LTD | Internal Medicine | Current | Accepting new patients |
| Charleston Area Medical Center, Inc. | Current | Accepting new patients | |
| Charleston Area Medical Center Inc | Current | Accepting new patients | |
| Reid Physician Associates, Inc. | Internal Medicine | Current | Accepting new patients |
| Camden-Clark Physician Corporation | Past | Accepting new patients | |
| Camden Clark Memorial Hospital Corporation | Past | Accepting new patients |
Locations
1100 Reid Pkwy
Richmond, IN 47374
Phone (765) 983-3000
1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000
1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000
501 Morris St
Charleston, WV 25301
Phone (304) 348-6293
800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161
800 Garfield Ave
Rm G101
Parkersburg, WV 26101
Phone (304) 422-0405
1320 Maplewood Ave
Ronceverte, WV 24970
Phone (304) 645-0870
Interoperability endpoints
- jvarghese386067@reidhealth.direct-ci.com
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Richmond, IN
- NPI 1265689111
-
- Internal Medicine Physician
- Ashtabula, OH
- NPI 1477500999
-
- General Acute Care Hospital
- Charleston, WV
- NPI 1124248752
-
- Internal Medicine Physician
- Canton, OH
- NPI 1639119027
-
- Multi-Specialty Clinic/Center
- Bloomington, IN
- NPI 1013953983
-
- Radiology Clinic/Center
- Winchester, IN
- NPI 1417653221
-
- Multi-Specialty Clinic/Center
- Belpre, OH
- NPI 1588422547
-
- General Acute Care Hospital
- Parkersburg, WV
- NPI 1699704254
-
- Surgery Physician
- Parkersburg, WV
- NPI 1710125430
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richmond, IN
- NPI 1063457380
-
- Critical Access Hospital
- Rushville, IN
- NPI 1497726020
-
- Critical Access Hospital
- Winchester, IN
- NPI 1609826783
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1053339507
-
- Critical Access Hospital
- Greenville, OH
- NPI 1184621161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635724800000",
"number": "1003136367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 REID PARKWAY",
"address_2": "MEDICAL STAFF SERVICES",
"city": "RICHMOND",
"state": "IN",
"postal_code": "47374",
"telephone_number": "765-935-8802",
"fax_number": "765-983-3219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 REID PKWY",
"city": "RICHMOND",
"state": "IN",
"postal_code": "473741157",
"telephone_number": "765-983-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGHESE",
"first_name": "JUSTIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-09",
"last_updated": "2021-11-01",
"certification_date": "2021-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WV",
"license": "25429",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301096387",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01077384A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300032913",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jvarghese386067@ReidHealth.direct-ci.com",
"affiliation": "Y",
"affiliationName": "Reid Physician Associates, Inc.",
"address_1": "1100 Reid Pkwy",
"city": "Richmond",
"state": "IN",
"country_code": "US",
"postal_code": "473741157",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Richmond, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.