Bethesda Medical Clinic Infusion Center LLC

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

BETHESDA MEDICAL CLINIC INFUSION CENTER LLC

Practice address

1151 Barataria Blvd Ste 3400
Marrero, LA 70072-3083

Phone

(504) 265-8304

Fax

(504) 309-4193

NPI assigned

Apr 15, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Shibu Varughese, MDNPI 1346475506

Title

Owner/Medical Director

Phone

(504) 265-8304

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Bethesda Medical Clinic, LLC

  • Internal Medicine Physician
  • Marrero, LA
  • NPI 1912271412

  O20120412000686

  Same enrollment

Tax ID family

Bethesda Medical Clinic Infusion Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bethesda Medical Clinic Infusion Center LLC

  dba Bethesda Medical Clinic Infusion Center

  • Infusion Therapy Clinic/Center
  • Terrytown, LA
  • NPI 1659996544
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shibu Varughese, M.D.

  • Internal Medicine Physician
  • Marrero, LA
  • NPI 1346475506

  Geriatric Medicine

  NPD Authorized official
• Ashik Lawrence, M.D.

  • Hospitalist Physician
  • Metairie, LA
  • NPI 1780094482
  NPD

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1356760524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 BARATARIA BLVD STE 3400B",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723044",
            "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": [],
    "basic": {
        "organization_name": "BETHESDA MEDICAL CLINIC INFUSION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "VARUGHESE",
        "authorized_official_first_name": "SHIBU",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "504-265-8304",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "LA",
            "license": "MD203694",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "LA",
            "license": "MD203694",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "LA",
            "license": "MD203694",
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allyson Diana Bennett, PH.D.
• Kim Lagraize Bent, D.D.S.
• Michele Antoinette Berfect
• Kaitlyn Bergeron, PHARM.D
• Corrine Bessard
• Bethesda Medical Clinic, LLC
• Beyond Beginnings, LLC
• Bich-Ngoc Thi Pham, MD, LLC
• Darren Bickham
• Kate Induni Bickham, SSP

• Infusion Therapy Clinic/Center in Marrero, LA
• Providers in Marrero, LA by specialty
• Infusion Therapy Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.