Individual provider Active NPI

Varkey Mathew, MD

  • Cardiovascular Disease Physician
  • Huntingtown, MD
National Provider Identifier
1245211481
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D0045435 Issued in MD
Practice address
3995 Old Town Rd
Suite 101
Huntingtown, MD 20639-3039
Phone
(410) 535-3612
Fax
(410) 535-3613
NPI assigned
Nov 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X D0045435 MD Primary

Addresses

Primary practice location

3995 Old Town Rd
Suite 101
Huntingtown, MD 20639-3039

Mailing address

3995 Old Town Rd
Suite 101
Huntingtown, MD 20639-9407
Phone (410) 535-3612

Other identifiers 2

IdentifierTypeStateIssuer
516POtherMDGROUP MEDICARE MD NUMBER
4173341P001MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20071112000319 MD Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Nuclear Medicine 6103845581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Nuclear Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3995 Old Town Rd
Suite 101
Huntingtown, MD 20639-3040
Phone 4105353612110

6 Post Office Rd
Suite 101
Waldorf, MD 20602-2746
Phone (410) 535-3612

Hospital & facility affiliations

  • Calverthealth Medical Center Hospital, Prince Frederick, MD, CCN 210039

Merit-based Incentive Payment System (MIPS)

Final score
87.43 of 100Reported as individual
Quality
88.32
Promoting interoperability
100
Improvement activities
40
Cost
69.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10
Varicose vein removal155

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0045435MDMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC Past Accepting new patients
Matcare, LLC PastSince Aug 4, 2002 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: varkey.mathew.1@20055.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/4288/brand/1/csg/1/fhir/r4

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": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1245211481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3995 OLD TOWN RD",
            "address_2": "SUITE 101",
            "city": "HUNTINGTOWN",
            "state": "MD",
            "postal_code": "206399407",
            "telephone_number": "410-535-3612",
            "fax_number": "410-535-3613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3995 OLD TOWN RD",
            "address_2": "SUITE 101",
            "city": "HUNTINGTOWN",
            "state": "MD",
            "postal_code": "206393039",
            "telephone_number": "410-535-3612",
            "fax_number": "410-535-3613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "VARKEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D0045435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE MD NUMBER",
            "identifier": "516P",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4173341P001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingtown, MD

Sources for this page

Verify at the official NPI Registry.