Individual provider Active NPI

Reba Varughese

  • Endocrinology, Diabetes & Metabolism Physician
  • League City, TX
National Provider Identifier
1235634122
Registry record updated May 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
U3044 Issued in TX
Practice address
2660 Gulf Fwy S
Entrance B
League City, TX 77573
Phone
(832) 505-2300
NPI assigned
Mar 24, 2018
Last updated
May 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Endocrinology, Diabetes & Metabolism Physician 207RE0101X U3044 TX Primary

Addresses

Primary practice location

2660 Gulf Fwy S
Entrance B
League City, TX 77573

Mailing address

4110 Royal Plantation LN
Missouri City, TX 77459-2370

Other practice location 1

4110 Royal Plantation Ln
Missouri City, TX 77459-2370
Phone (281) 208-3106

Other practice location 2

301 University Blvd
Galveston, TX 77555-2370
Phone (281) 454-1140

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL revarugh@utmb.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NY, GA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20230518003191 TX Practitioner - Endocrinology 9032512439 Reassigns benefits to 1 organization
I20240614000649 NY Practitioner - Endocrinology 9032512439 Reassigns benefits to 1 organization
I20241204000290 GA Practitioner - Internal Medicine 9032512439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Center for Podiatry CareGroup PAC ID 8022048222, 6 clinicians

Practice addresses (Care Compare)

462 Furys Ferry Rd
Martinez, GA 30907-9506
Phone (706) 868-0319

725 E Adams St
Syracuse, NY 13210-2576
Phone (315) 464-5726

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.56 of 100Reported as group
Quality
71.97
Promoting interoperability
100
Improvement activities
40
Cost
75.04

Merit-based Incentive Payment System (MIPS)

Final score
78.88 of 100Reported as group
Quality
73.38
Improvement activities
40
Cost
78.42

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Department of Medicine Medical Serv GRP at Suny HLTH Sci Ctr Syr in Endocrinology, Diabetes & Metabolism CurrentSince Jun 1, 2024 Accepting new patients
Center for Podiatry Care Endocrinology, Diabetes & Metabolism CurrentSince Oct 15, 2024 Accepting new patients
Department of Medicine Medical Service Group CurrentSince Jun 1, 2024 Accepting new patients
Utmb Faculty Group Practice CurrentSince Jul 1, 2023 Accepting new patients

Locations

462 Furys Ferry Rd
Martinez, GA 30907
Phone (706) 868-0319

725 E Adams St
Fl 5
Syracuse, NY 13210
Phone (315) 464-5726

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

2660 Gulf Fwy S
#B
League City, TX 77573
Phone (832) 505-2150

Interoperability endpoints

  • Direct secure messaging: reba.varughese@xdr.hhchealthdirect.org
  • Direct secure messaging: rvarughesemd51581@direct.utmb.edu

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1521849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684540800000",
    "number": "1235634122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 ROYAL PLANTATION LN",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774592370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 GULF FWY S",
            "address_2": "ENTRANCE B",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "77573",
            "telephone_number": "832-505-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4110 Royal Plantation Ln",
            "address_purpose": "LOCATION",
            "city": "Missouri City",
            "state": "TX",
            "postal_code": "774592370",
            "country_code": "US",
            "telephone_number": "281-208-3106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 University Blvd",
            "address_purpose": "LOCATION",
            "city": "Galveston",
            "state": "TX",
            "postal_code": "775552370",
            "country_code": "US",
            "telephone_number": "281-454-1140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARUGHESE",
        "first_name": "REBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-24",
        "last_updated": "2023-05-20",
        "certification_date": "2023-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "U3044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "revarugh@utmb.edu",
            "affiliation": "N",
            "address_1": "301 University Blvd",
            "city": "Galveston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775555302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

Verify at the official NPI Registry.