Individual provider Active NPI

Shereen Raju Varughese, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • Irving, TX
National Provider Identifier
1013439934
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
133176 Issued in TX
Practice address
909 Hidden RDG Ste 300
Irving, TX 75038-3801
Phone
(844) 388-6541
Fax
(844) 452-8151
NPI assigned
Jul 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 133176 TX
Gerontology Nurse Practitioner 363LG0600X 133176 TX
Adult Health Nurse Practitioner 363LA2200X 133176 TX Primary

Addresses

Primary practice location

909 Hidden RDG Ste 300
Irving, TX 75038-3801

Mailing address

909 Hidden RDG Ste 300
Irving, TX 75038-3801
Phone (844) 388-6541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170825001567 TX Practitioner - Nurse Practitioner 3577835545 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

448 Castroville Rd
San Antonio, TX 78207-5147
Phone (210) 434-1400

Merit-based Incentive Payment System (MIPS)

Final score
70.97 of 100Reported as group
Quality
43.69
Promoting interoperability
91
Improvement activities
40
Cost
67.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
133176TXMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, P.a. CurrentSince Dec 1, 2024 Accepting new patients
Wellmed Networks, Inc. CurrentSince Jun 3, 2024 Accepting new patients
Wellmed Medical Group, PA CurrentSince Dec 1, 2024 Accepting new patients
Marchetti Physical Medicine P.a. Past Accepting new patients

Locations

909 Hidden Rdg
Ste 300
Irving, TX 75038
Phone (214) 766-3503

4330 Medical Dr
Ste 500
San Antonio, TX 78229
Phone (210) 558-0122

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

448 Castroville Rd
San Antonio, TX 78207
Phone (210) 434-1400

19500 Ih 10 W
Bldg 1
San Antonio, TX 78257
Phone (726) 567-6300

Interoperability endpoints

  • Direct secure messaging: shereen.varughese@wellmed.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/2477/brand/28/csg/21/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1013439934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 HIDDEN RDG STE 300",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750383801",
            "telephone_number": "844-388-6541",
            "fax_number": "844-452-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 HIDDEN RDG STE 300",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750383801",
            "telephone_number": "844-388-6541",
            "fax_number": "844-452-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARUGHESE",
        "first_name": "SHEREEN",
        "middle_name": "RAJU",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "133176",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "133176",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "133176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.