Organization Active NPI

Carefree Neurology Clinic PLLC

  • Neurology Physician
  • Phoenix, AZ
National Provider Identifier
1316452394
Registry record updated Dec 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
CAREFREE NEUROLOGY CLINIC PLLC
Practice address
34406 N 27TH Dr Ste 102
Phoenix, AZ 85085-7730
Phone
(602) 344-9567
Fax
(602) 344-9562
NPI assigned
Dec 12, 2017
Last updated
Dec 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2017

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

Authorized official

Name
Fleny Susan Varghese, MDNPI 1114066149
Title
Owner/Physician
Phone
(602) 344-9567

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X AZ Primary

Addresses

Primary practice location

34406 N 27TH Dr Ste 102
Phoenix, AZ 85085-7730

Mailing address

34406 N 27TH Dr Ste 102
Phoenix, AZ 85085-7730
Phone (602) 344-9567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180612003250 AZ Part B Supplier - Clinic/Group Practice 0648525808 Receives reassigned benefits from 1 practitioner
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

34406 N 27th Dr
Ste 102
Phoenix, AZ 85085
Phone (602) 344-9567

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1316452394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34406 N 27TH DR STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850857730",
            "telephone_number": "602-344-9567",
            "fax_number": "602-344-9562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34406 N 27TH DR STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850857730",
            "telephone_number": "602-344-9567",
            "fax_number": "602-344-9562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREFREE NEUROLOGY CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-12",
        "last_updated": "2017-12-12",
        "status": "A",
        "authorized_official_last_name": "VARGHESE",
        "authorized_official_first_name": "FLENY",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "602-344-9567",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.