Active NPI
Soji Mathew Varghese, MBBS
- Neonatal-Perinatal Medicine Physician
- Salisbury, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- MD044833
- Practice address
- 100 E Carroll St
Salisbury, MD 21801-5493 - Phone
- (914) 733-2662
- NPI assigned
- Jun 17, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | MD475704 | PA | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | MD044833 | DC | Primary |
Addresses
Primary practice location
100 E Carroll St
Salisbury, MD 21801-5493
Mailing address
100 E Carroll St
Salisbury, MD 21801-5493
Phone (914) 733-2662
Other practice location 1
111 Michigan Ave NW
Washington, DC 20010-2916
Phone (202) 476-5000
Other practice location 2
205 S Front St Ste 907
Harrisburg, PA 17104-1619
Phone (717) 231-8313
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | svarghese210156@phsdirect.pinnaclehealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD475704 | PA | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Upmc Pinnacle Hospitals | Past | Accepting new patients | |
| Pinnacle Health Medical Services | Past | Accepting new patients |
Locations
205 S Front St
Ste 907
Harrisburg, PA 17104
Phone (717) 231-8313
111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282
2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100
Interoperability endpoints
- svarghese306358@upmc.direct-ci.com
Organizations & group practices 5
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.
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- NPI 1518918523
-
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- Harrisburg, PA
- NPI 1407813603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710979200000",
"number": "1346503240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E CARROLL ST",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218015493",
"telephone_number": "914-733-2662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E CARROLL ST",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218015493",
"telephone_number": "914-733-2662"
}
],
"practiceLocations": [
{
"address_1": "111 Michigan Ave NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200102916",
"country_code": "US",
"telephone_number": "202-476-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "205 S Front St Ste 907",
"address_purpose": "LOCATION",
"city": "Harrisburg",
"state": "PA",
"postal_code": "171041619",
"country_code": "US",
"telephone_number": "717-231-8313",
"fax_number": "717-231-8756",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VARGHESE",
"first_name": "SOJI",
"middle_name": "MATHEW",
"name_prefix": "Dr.",
"credential": "MBBS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-17",
"last_updated": "2024-03-21",
"certification_date": "2024-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "PA",
"license": "MD475704",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "DC",
"license": "MD044833",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "svarghese210156@phsdirect.pinnaclehealth.org",
"affiliation": "N",
"address_1": "205 S Front St Ste 907",
"city": "Harrisburg",
"state": "PA",
"country_code": "US",
"postal_code": "171041619",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.