Individual provider Active NPI

Koshy K Varghese, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Austin, TX
National Provider Identifier
1154311496
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
K6732 Issued in TX
Practice address
7800 Shoal Creek Blvd Ste 130W
Austin, TX 78757-1040
Phone
(512) 407-8880
NPI assigned
Oct 27, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X K6732 TX
Internal Medicine Physician 207R00000X K6732 TX
Geriatric Medicine (Internal Medicine) Physician 207RG0300X K6732 TX Primary

Addresses

Primary practice location

7800 Shoal Creek Blvd Ste 130W
Austin, TX 78757-1040

Mailing address

645 County Road 262
Georgetown, TX 78628-1970
Phone (512) 508-2711

Other practice location 1

645 County Road 262
Georgetown, TX 78628-1970
Phone (512) 508-2711

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040513001345 TX Practitioner - Internal MedicinePractitioner - Geriatric Medicine 0446240220 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vpa of Texas PLLCGroup PAC ID 7618911660, 67 clinicians

Practice addresses (Care Compare)

Austin, TX 78757
Phone (512) 407-8880

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Georgetown, TX, CCN 679647
  • Progressive Home Health Agency Home health agency, Buda, TX, CCN 453125
  • Theracare Home Health Home health agency, Round Rock, TX, CCN 679293
  • Elara Caring Home health agency, Round Rock, TX, CCN 457661
  • Enhabit Home Health Home health agency, Marble Falls, TX, CCN 679292
  • St David'S Medical Center Hospital, Austin, TX, CCN 450431
  • North Austin Medical Center Hospital, Austin, TX, CCN 450809

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Travis County Emergency Physicians PA Emergency Medicine CurrentSince Dec 1, 2022 Accepting new patients
Lone Star Emergency Associates LLC Emergency Medicine CurrentSince Mar 8, 2020 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Jan 5, 2021 Accepting new patients
Vpa of Texas PLLC CurrentSince Mar 25, 2020 Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Mar 31, 2022 Accepting new patients
Victoria Emergency Partners LLC Emergency Medicine CurrentSince Oct 27, 2017 Accepting new patients
Vpa of Texas PLLC CurrentSince Mar 25, 2020 Accepting new patients
Bexar Emergency Physicians, PLLC Emergency Medicine CurrentSince Mar 1, 2024 Accepting new patients
Vpa of Texas PLLC Internal Medicine Current Accepting new patients
Emergency Hospital Systems LLC CurrentSince Mar 2, 2018 Accepting new patients
Sabine County Hospital District Emergency Medicine Past Accepting new patients
Bellville Medical Center PastSince Aug 6, 2019 Accepting new patients
Southwest Medical Associates, Inc. Emergency Medicine Past Accepting new patients
.Sunstar Geriatrics Healthcare PA Geriatric Medicine Past Accepting new patients
Whitney Hospital Authority Past Accepting new patients
Frontier Hospitals, Inc. Past Accepting new patients
Memorial Hospital San Augustine Past Accepting new patients
Bellville Hospital District Emergency Medicine Past Accepting new patients

Locations (25 of 29)

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

7800 Shoal Creek Blvd
Ste 118W
Austin, TX 78757
Phone (512) 374-0700

7800 Shoal Creek Blvd
Ste 130W
Austin, TX 78757
Phone (713) 874-0012

44 N Cummings St
Bellville, TX 77418
Phone (979) 413-7400

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

110 Shult Dr
Columbus, TX 78934
Phone (979) 493-7560

304 S Daugherty Ave
Eastland, TX 76448
Phone (254) 629-2601

303 Sandy Corner Rd
El Campo, TX 77437
Phone (979) 543-6251

1416 George Dieter Dr
El Paso, TX 79936
Phone (877) 822-6281

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

8901 FM 1960 Bypass Rd W
Ste 105
Humble, TX 77338
Phone (281) 592-5400

110 Memorial Hospital Dr
Huntsville, TX 77340
Phone (936) 291-4276

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

701 McClintic Dr
Lake Limestone, TX 76642
Phone (254) 729-3281

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

1353 N Travis St
Liberty, TX 77575
Phone (936) 336-7316

200 W Ollie St
Llano, TX 78643
Phone (325) 216-9199

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

200 S Interstate 35
Pearsall, TX 78061
Phone (888) 250-2326

11212 State Highway 151
San Antonio, TX 78251
Phone (210) 281-5066

11130 Christus Hls
Ste 119
San Antonio, TX 78251
Phone (210) 703-9800

5414 Fredericksburg Rd
Ste 100A
San Antonio, TX 78229
Phone (210) 468-0800

1434 E Sonterra Blvd
Ste 101
San Antonio, TX 78258
Phone (210) 686-8000

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 7

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": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1154311496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 COUNTY ROAD 262",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786281970",
            "telephone_number": "512-508-2711",
            "fax_number": "512-869-8648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 SHOAL CREEK BLVD STE 130W",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571040",
            "telephone_number": "512-407-8880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "645 County Road 262",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "TX",
            "postal_code": "786281970",
            "country_code": "US",
            "telephone_number": "512-508-2711",
            "fax_number": "512-869-8648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARGHESE",
        "first_name": "KOSHY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "K6732",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K6732",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "K6732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.