NPIMap

Individual provider Active NPI

Deepam Shaji Varughese, MD

  • Internal Medicine Physician
  • Pearland, TX
National Provider Identifier
1114580727
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
T6272 Issued in TX
Practice address
8520 Broadway St Ste 200
Pearland, TX 77584-7716
Phone
(281) 485-4050
NPI assigned
Apr 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X T6272 TX Primary

Addresses

Primary practice location

8520 Broadway St Ste 200
Pearland, TX 77584-7716

Mailing address

8520 Broadway St
Pearland, TX 77584-7716
Phone (281) 485-4050

Other names 1

  • Deepam Shaji Joseph Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220806000676 TX Practitioner - Internal Medicine 0244565133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Texas a & M University System, HSC, College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians

Practice addresses (Care Compare)

8520 Broadway St
Suite 200
Pearland, TX 77584-7716
Phone (281) 485-4050

Hospital & facility affiliations

  • Houston Methodist Hospital Hospital, Houston, TX, CCN 450358
  • Houston Methodist Clear Lake Hospital Hospital, Nassau Bay, TX, CCN 450709
  • Houston Methodist Sugarland Hospital Hospital, Sugar Land, TX, CCN 450820
  • HCA Houston Healthcare Pearland Hospital, Pearland, TX, CCN 670106
  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T6272TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC Internal Medicine CurrentSince Sep 6, 2022 Accepting new patients
TMH Physician Associates PLLC CurrentSince Sep 6, 2022 Accepting new patients
Houston Methodist Specialty Physicians Past Accepting new patients

Locations

8520 Broadway St
Pearland, TX 77584
Phone (281) 485-4050

8520 Broadway St
Ste 200
Pearland, TX 77584
Phone (281) 485-4050

2950 Cullen Blvd
Ste 101
Pearland, TX 77584
Phone (281) 977-7444

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

Interoperability endpoints

  • Direct secure messaging: djoseph419711@directhoustonmethodist.org

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 10

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": "1555545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1114580727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8520 BROADWAY ST",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847716",
            "telephone_number": "281-485-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8520 BROADWAY ST STE 200",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847716",
            "telephone_number": "281-485-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARUGHESE",
        "first_name": "DEEPAM",
        "middle_name": "SHAJI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-18",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "T6272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEEPAM",
            "last_name": "JOSEPH",
            "middle_name": "SHAJI",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.