Individual provider Active NPI

Reny Varghese, FNP

  • Family Nurse Practitioner
  • Wilmington, DE
National Provider Identifier
1023655842
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0001320 Issued in DE
Practice address
501 W 14TH St FL 6
Wilmington, DE 19801-1013
Phone
(302) 320-1300
Fax
(302) 320-1373
NPI assigned
Dec 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 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 LG-0001320 DE
Registered Nurse 163W00000X L1-0033295 DE
Family Nurse Practitioner 363LF0000X LG-0001320 DE Primary

Addresses

Primary practice location

501 W 14TH St FL 6
Wilmington, DE 19801-1013

Mailing address

28 Dunleary Dr
Bear, DE 19701-6355
Phone (302) 339-3283

Other practice location 1

1225 Walker Rd # 6541
Dover, DE 19904-6541
Phone (302) 734-1199

Other names 1

  • Reny Susan Kurian Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20191231001501 DE Practitioner - Nurse Practitioner 3971937855 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christiana Care Health Services IncGroup PAC ID 9739097569, 1,480 clinicians

Practice addresses (Care Compare)

501 W 14TH St FL
6 CCHS Infectious Disease
Wilmington, DE 19801-1013
Phone (302) 320-1300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L1-0033295DEMDRegistered Nurse
LG-0001320DEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southbridge Medical Advisory Council, Inc. CurrentSince Mar 1, 2023 Accepting new patients
Southbridge Medical Advisory Council Inc CurrentSince Mar 1, 2023 Accepting new patients
Geriatric Medicine Consultants PA CurrentSince Dec 1, 2019 Accepting new patients
Family Care Associates, Inc CurrentSince Feb 1, 2021 Accepting new patients
Christiana Care Health Services Inc Nurse Practitioner CurrentSince Nov 12, 2024 Accepting new patients
Christiana Care Health Services, Inc Nurse Practitioner Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Nov 12, 2024 Accepting new patients

Locations

1225 Walker Rd
#6541
Dover, DE 19904
Phone (302) 734-1199

191 Christiana Rd
Ste 3
New Castle, DE 19720
Phone (302) 322-1794

510 Christiana Medical Ctr
Newark, DE 19702
Phone (302) 454-8880

1400 N Washington St
Wilmington, DE 19801
Phone (302) 255-1300

501 W 14th St
Fl 6
Wilmington, DE 19801
Phone (302) 320-1300

601 New Castle Ave
Wilmington, DE 19801
Phone (302) 655-6187

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

1601 Milltown Rd
Ste 2
Wilmington, DE 19808
Phone (302) 463-6542

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1575158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1023655842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 DUNLEARY DR",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197016355",
            "telephone_number": "302-339-3283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W 14TH ST FL 6",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198011013",
            "telephone_number": "302-320-1300",
            "fax_number": "302-320-1373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 Walker Rd # 6541",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199046541",
            "country_code": "US",
            "telephone_number": "302-734-1199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARGHESE",
        "first_name": "RENY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-01",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LG-0001320",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DE",
            "license": "L1-0033295",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0001320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENY",
            "last_name": "KURIAN",
            "middle_name": "SUSAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.