Charles Varghese, M.D

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME67182 Issued in FL

Practice address

782 SW Sisters Welcome Rd
Lake City, FL 32025-0442

Phone

(386) 755-4518

Fax

(386) 758-4500

NPI assigned

Aug 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Cardiovascular Disease (Cardiology)

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Charles Varghese M D

  • Medical Specialty Clinic/Center
  • Lake City, FL
  • NPI 1598154890
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346354305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "782 SW SISTERS WELCOME RD",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320250442",
            "telephone_number": "386-755-4518",
            "fax_number": "386-758-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "782 SW SISTERS WELCOME RD",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320250442",
            "telephone_number": "386-755-4518",
            "fax_number": "386-758-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGHESE",
        "first_name": "CHARLES",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME67182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "27862",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard German Valenzuela, M.D.
• Valli Jeanenne Van Meter, PHARMD
• Patricia Vance
• Heather Ann Thornton Vann, M.ED./ED.S.
• Jarinel Vargas
• Kendall P Varney, AUDIOLOGIST
• Valerie Katiana Vazquez, MD
• Laura V Vazquez11
• Veedhata Om LLC (Prime Diagnostics)
• Abimael Velez

• Cardiovascular Disease Physician in Lake City, FL
• Providers in Lake City, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.