Individual provider Active NPI

Fleny Susan Varghese, MD

  • Neurology Physician
  • Phoenix, AZ
National Provider Identifier
1114066149
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
45267 Issued in AZ
Practice address
34406 N 27TH Dr Ste 102
Phoenix, AZ 85085-7730
Phone
(602) 344-9567
Fax
(602) 344-9562
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 45267 AZ Primary

Addresses

Primary practice location

34406 N 27TH Dr Ste 102
Phoenix, AZ 85085-7730

Mailing address

34406 N 27TH Dr BLDG 1
Phoenix, AZ 85085-6082
Phone (602) 344-9567

Other practice location 1

13175 E. Highway 169
Dewey, AZ 86327
Phone (928) 632-1155 ext. 209

Other identifiers 1

IdentifierTypeStateIssuer
661046MedicaidAZ

Other names 1

  • Mrs. Fleny Susan Thomas Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111021000431 AZ Practitioner - Neurology 3971776774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

34406 N 27TH Dr
BLDG 1 Suite 102
Phoenix, AZ 85085-6079
Phone (602) 344-9567

Hospital & facility affiliations

  • Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Justin Ross PLC CurrentSince May 1, 2018 Accepting new patients
Carefree Neurology Clinic PLLC Neurology CurrentSince Aug 1, 2017 Accepting new patients
Mikrut Physical Therapy LLC Past Accepting new patients

Locations

34406 N 27th Dr
Ste 102
Phoenix, AZ 85085
Phone (602) 344-9567

34406 N 27th Dr
Bldg 1
Phoenix, AZ 85085

8513 NE Hazel Dell Ave
Ste 102
Vancouver, WA 98665
Phone (800) 594-8043

Interoperability endpoints

  • Direct secure messaging: carefreeneurologyclinicpllc.flenysvarghese@138862.advancedmd-direct.com

Organizations & group practices 3

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522713600000",
    "number": "1114066149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34406 N 27TH DR BLDG 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850856082",
            "telephone_number": "602-344-9567",
            "fax_number": "602-344-9562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34406 N 27TH DR STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850857730",
            "telephone_number": "602-344-9567",
            "fax_number": "602-344-9562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13175 E. Highway 169",
            "address_purpose": "LOCATION",
            "city": "Dewey",
            "state": "AZ",
            "postal_code": "86327",
            "country_code": "US",
            "telephone_number": "928-632-1155 x209",
            "fax_number": "928-632-5580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARGHESE",
        "first_name": "FLENY",
        "middle_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2018-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "45267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "661046",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FLENY",
            "last_name": "THOMAS",
            "middle_name": "SUSAN",
            "prefix": "MRS.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.