Individual provider Active NPI

John Daniel Verghese, MD

  • Plastic Surgery Physician
  • Marathon, FL
National Provider Identifier
1275698201
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME81836 Issued in FL
Practice address
2901 Overseas Hwy Ste 2
Marathon, FL 33050
Phone
(305) 289-1975
Fax
(305) 289-1976
NPI assigned
Dec 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X ME81836 FL Primary

Addresses

Primary practice location

2901 Overseas Hwy Ste 2
Marathon, FL 33050

Mailing address

2901 Overseas Hwy Ste 2
Marathon, FL 33050-2235
Phone (305) 289-1975

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20120618000170 FL Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 0345404695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
Northeastern Ohio University College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2901 Overseas Hwy
Suite 2
Marathon, FL 33050

2901 Overseas Hwy
Suite 2
Marathon, FL 33050-2235
Phone (305) 289-1975

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision85
Removal or shaving of skin growth95

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME81836FLMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Keys Plastic Surgery, Inc. CurrentSince Nov 12, 2011 Accepting new patients

Locations

10095 Overseas Hwy
Marathon, FL 33050
Phone (305) 289-1975

2901 Overseas Hwy
#2
Marathon, FL 33050
Phone (305) 289-1975

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1275698201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 OVERSEAS HWY STE 2",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330502235",
            "telephone_number": "305-289-1975",
            "fax_number": "305-289-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 OVERSEAS HWY STE 2",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "33050",
            "telephone_number": "305-289-1975",
            "fax_number": "305-289-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERGHESE",
        "first_name": "JOHN",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME81836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marathon, FL

Sources for this page

Verify at the official NPI Registry.