NPIMap

Individual provider Active NPI

Jilu J. Varghese, M.D

  • Family Medicine Physician
  • Spring, TX
National Provider Identifier
1386875698
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R0972 Issued in TX
Practice address
2255 E Mossy Oaks Rd Ste 500
Spring, TX 77389-1813
Phone
(281) 440-5300
Fax
(832) 232-5591
NPI assigned
Aug 4, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA08998500 NJ
Family Medicine Physician 207Q00000X R0972 TX Primary

Addresses

Primary practice location

2255 E Mossy Oaks Rd Ste 500
Spring, TX 77389-1813

Mailing address

2255 E Mossy Oaks Rd Ste 500
Spring, TX 77389-1813
Phone (281) 440-5300

Other identifiers 2

IdentifierTypeStateIssuer
373727202MedicaidTX
373727201MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170727000966 TX Practitioner - Family Practice 3274789755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Villagemd of Southeast Texas PAGroup PAC ID 4587947346, 217 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

10220 Louetta Rd
Unit 100
Houston, TX 77070-3825
Phone (832) 376-3880

8215 Cypresswood Dr
Spring, TX 77379-7466
Phone (832) 717-0877

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA08998500NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Village Family Practice, L.L.P Family Medicine CurrentSince Sep 1, 2021 Accepting new patients
Villagemd of Southeast Texas, PA Family Medicine CurrentSince Sep 1, 2021 Accepting new patients
Medical Diagnostic Associates, PA Family Medicine Past Accepting new patients
Medical Diagnostic Associates, PA Past Accepting new patients

Locations

10220 Louetta Rd
Houston, TX 77070
Phone (281) 971-2132

9055 Katy Fwy
Ste 100
Houston, TX 77024
Phone (346) 646-4954

10220 Louetta Rd
Unit 100
Houston, TX 77070
Phone (832) 376-3880

302 Highway 3 S
League City, TX 77573
Phone (281) 332-6573

6122 Broadway St
#100
Pearland, TX 77581
Phone (346) 398-7252

15200 Southwest Fwy
Sugar Land, TX 77478
Phone (346) 646-3302

Interoperability endpoints

  • Direct secure messaging: jilu.varghese.1@13711.direct.athenahealth.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.

Hospital & facility affiliations 10

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": "1249344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1386875698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 E MOSSY OAKS RD STE 500",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773891813",
            "telephone_number": "281-440-5300",
            "fax_number": "832-232-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 E MOSSY OAKS RD STE 500",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773891813",
            "telephone_number": "281-440-5300",
            "fax_number": "832-232-5591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGHESE",
        "first_name": "JILU",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA08998500",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R0972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373727202",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373727201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.