Active NPI
Varughese Max Baby, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 781646
- Practice address
- 4314 Yoakum Blvd
Houston, TX 77006-5818 - Phone
- (713) 850-0049
- Fax
- (713) 850-0036
- NPI assigned
- Sep 29, 2008
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 525591 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 781646 | TX | Primary |
Addresses
Primary practice location
4314 Yoakum Blvd
Houston, TX 77006-5818
Mailing address
3430 Hidden Creek Dr
Sugar Land, TX 77479-1651
Phone (516) 749-3845
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 215863603 | Medicaid | TX | |
| 215863602 | Medicaid | TX | |
| 215863605 | Medicaid | TX | |
| P00967678 | Other | TX | RAIL ROAD MCR DALLAS |
| 859N32 | Other | TX | BCBS TX |
| 215863604 | Medicaid | TX | |
| P00889009 | Other | TX | RAIL ROAD MEDICARE |
| 834N18 | Other | TX | BCBS TX |
| 215863601 | Medicaid | TX | |
| 847N28 | Other | TX | BCBS TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6101 W Courtyard Dr
Suite 2 225
Austin, TX 78730-5044
Phone (512) 956-5003
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 67.33
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.54 of 100
- Quality
- 72.94
- Improvement activities
- 40
- Cost
- 48.08
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 781646 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
| 525591 | NY | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Med Management Indiana PC | Current | Accepting new patients | |
| Med Management Associates | Current | Accepting new patients | |
| US Televero Health PA | Psychiatric/Mental Health | Current | Accepting new patients |
| Aslam Loya, M.D. P.a | Past | Accepting new patients |
Locations
14688 Illinois Highway 82
Geneseo, IL 61254
Phone (309) 944-2147
3830 Mustang Rd
Alvin, TX 77511
Phone (281) 585-8484
6101 W Courtyard Dr
Ste 2-225
Austin, TX 78730
Phone (877) 474-0155
4006 Vista Rd
Pasadena, TX 77504
Phone (713) 943-1592
7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472
Organizations & group practices 4
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Austin, TX
- NPI 1992318992
Psychiatric/Mental Health
-
- Psychiatry Physician
- San Antonio, TX
- NPI 1508233040
-
- Psychiatry Physician
- Garfield Heights, OH
- NPI 1225519333
-
- Internal Medicine Physician
- Houston, TX
- NPI 1659580728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341187200000",
"number": "1417107293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3430 HIDDEN CREEK DR",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774791651",
"telephone_number": "516-749-3845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4314 YOAKUM BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770065818",
"telephone_number": "713-850-0049",
"fax_number": "713-850-0036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BABY",
"first_name": "VARUGHESE",
"middle_name": "MAX",
"name_prefix": "Mr.",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-29",
"last_updated": "2012-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": "525591",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "781646",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "215863603",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "215863602",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "215863605",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MCR DALLAS",
"identifier": "P00967678",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS TX",
"identifier": "859N32",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "215863604",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P00889009",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS TX",
"identifier": "834N18",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "215863601",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS TX",
"identifier": "847N28",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; 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.