Beena Kovoor Varughese, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

23066 Issued in SC

Practice address

40 Pinnacle Pkwy
Suite 212
Elgin, SC 29045-8390

Phone

(803) 424-5161

Fax

(803) 424-5795

NPI assigned

Feb 21, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Palmetto Health

  • Family Medicine Physician
  • Columbia, SC
  • NPI 1659316743
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460073600000",
    "number": "1013052539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 PINNACLE PKWY",
            "address_2": "SUITE 212",
            "city": "ELGIN",
            "state": "SC",
            "postal_code": "290458390",
            "telephone_number": "803-424-5161",
            "fax_number": "803-424-5795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 PINNACLE PKWY",
            "address_2": "SUITE 212",
            "city": "ELGIN",
            "state": "SC",
            "postal_code": "290458390",
            "telephone_number": "803-424-5161",
            "fax_number": "803-424-5795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARUGHESE",
        "first_name": "BEENA",
        "middle_name": "KOVOOR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2016-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "23066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "230663",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paula Y Tucker
• Walzetta L Tucker
• Ashlee Turner, BSN,RN
• Megan Ugro, RBT
• Valley of Lilies Construction
• Gabriela Verdura, DC
• Gamble Veverica, LPC
• Katherine Elaine Waldhauser, SLP
• Lindsay Warren, DMD
• Fleurette Kenonta Washington, M.A. , CCC-SLP

• Family Medicine Physician in Elgin, SC
• Providers in Elgin, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.