Individual provider Active NPI

Shibu Varughese, M.D.

  • Internal Medicine Physician
  • Marrero, LA
National Provider Identifier
1346475506
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD.203694 Issued in LA
Practice address
1151 Barataria Blvd Ste 3400
Marrero, LA 70072-3083
Phone
(504) 265-8304
Fax
(504) 309-4193
NPI assigned
May 18, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MD203694 LA
Pharmacist 183500000X PS31922 FL
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X MD203694 LA
Geriatric Medicine (Internal Medicine) Physician 207RG0300X ME171498 FL
Geriatric Medicine (Internal Medicine) Physician 207RG0300X MD203694 LA
Internal Medicine Physician 207R00000X MD.203694 LA Primary

Addresses

Primary practice location

1151 Barataria Blvd Ste 3400
Marrero, LA 70072-3083

Mailing address

1151 Barataria Blvd Ste 3400
Marrero, LA 70072-3083
Phone (504) 265-8304

Other practice location 1

11050 Griffin Rd Ste 104
Davie, FL 33328-3227
Phone (504) 265-8304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, LA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20100113000853 FL Practitioner - Internal MedicinePractitioner - Hematology/Oncology 2062553985 Reassigns benefits to 1 organization
I20120412000708 LA Practitioner - Hematology/OncologyPractitioner - Internal MedicinePractitioner - Hospice/Palliative CarePractitioner - Geriatric Medicine 2062553985 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hematology/Oncology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bethesda Medical Clinic LLCGroup PAC ID 7416427059, 2 clinicians
Bethesda Medical Clinic, LLCGroup PAC ID 3971764259, 2 clinicians
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

11050 Griffin Rd
Suite 104
Davie, FL 33328-3227
Phone (954) 824-1922

1151 Barataria Blvd
Suite 3400
Marrero, LA 70072-3083
Phone (504) 265-8304

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3000

1516 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3470

71380 Hwy 21
Covington, LA 70433-7245
Phone (985) 661-3534

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
PS31922FLMDPharmacist
ME171498FLMDGeriatric Medicine (Internal Medicine) Physician
MD203694LAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Jul 1, 2014 Accepting new patients
Ochsner Clinic LLC Internal Medicine CurrentSince Jul 1, 2014 Accepting new patients
Bethesda Medical Clinic, LLC Internal Medicine CurrentSince Mar 1, 2012 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Shibu Varughese MD PA Internal Medicine CurrentSince Sep 1, 2009 Accepting new patients
Bethesda Medical Clinic, LLC Internal Medicine CurrentSince Mar 1, 2012 Accepting new patients
Bethesda Medical Clinic Infusion Center LLC Geriatric Medicine CurrentSince Mar 1, 2012 Accepting new patients
Bridgepoint Healthcare Louisiana LLC Past Accepting new patients
West Jefferson Holdings, LLC Past Accepting new patients
Bethesda Medical Clinic, LLC Geriatric Medicine Past Accepting new patients

Locations

11050 Griffin Rd
Ste 104
Davie, FL 33328
Phone (954) 442-7616

4399 N Nob Hill Rd
Sunrise, FL 33351
Phone (566) 904-1230

1101 Medical Center Blvd
Fl 4
Marrero, LA 70072
Phone (504) 349-6836

1151 Barataria Blvd
Ste 3400
Marrero, LA 70072
Phone (504) 265-8304

1514 Jefferson Hwy
New Orleans, LA 70121

1620 Belle Chasse Hwy
Ste 101
Terrytown, LA 70056
Phone (504) 265-8304

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHFGBD/Endpoint/EHFGBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/EHFGBD

Organizations & group practices 10

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 3

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": "1242604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1346475506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 BARATARIA BLVD STE 3400",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723083",
            "telephone_number": "504-265-8304",
            "fax_number": "504-309-4193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 BARATARIA BLVD STE 3400",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723083",
            "telephone_number": "504-265-8304",
            "fax_number": "504-309-4193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11050 Griffin Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333283227",
            "country_code": "US",
            "telephone_number": "504-265-8304",
            "fax_number": "504-309-4193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARUGHESE",
        "first_name": "SHIBU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-18",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "LA",
            "license": "MD203694",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS31922",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "LA",
            "license": "MD203694",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME171498",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "LA",
            "license": "MD203694",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.203694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marrero, LA

Sources for this page

Verify at the official NPI Registry.