Active NPI
Paul Varughese, M.D.
- Pediatrics Physician
- Durant, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 26824
- Practice address
- 1400 Bryan Dr Ste 201
Durant, OK 74701-2157 - Phone
- (580) 931-2290
- Fax
- (580) 931-2288
- NPI assigned
- Jan 24, 2007
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME 97642 | FL | |
| Pediatrics Physician | 208000000X | 26824 | OK | Primary |
Addresses
Primary practice location
1400 Bryan Dr Ste 201
Durant, OK 74701-2157
Mailing address
1400 Bryan Dr Ste 201
Durant, OK 74701-2157
Phone (580) 931-2290
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | paul.varughese.2@4696.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- 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 |
|---|---|---|---|
| ME 97642 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Durant Hma Physician Management, LLC | Pediatrics | Current | Accepting new patients |
| Marshall County Hma, LLC | Current | Accepting new patients | |
| Marshall County Hma LLC | Current | Accepting new patients | |
| Marshall County Hma LLC | Past | Accepting new patients | |
| Marshall County Hma, LLC | Past | Accepting new patients | |
| Durant Hma LLC | Past | Accepting new patients |
Locations
1400 Bryan Dr
Ste 301
Durant, OK 74701
Phone (580) 920-0105
1610 W University Blvd
Durant, OK 74701
Phone (580) 924-3400
1800 W University Blvd
Durant, OK 74701
Phone (580) 924-3080
1400 Bryan Dr
Ste 201
Durant, OK 74701
Phone (580) 924-4704
907 Hospital Dr
Madill, OK 73446
Phone (580) 795-0191
Interoperability endpoints
- paul.varughese.2@4696.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Durant, OK
- NPI 1043361116
Pediatrics
-
- Family Medicine Physician
- Durant, OK
- NPI 1356874374
-
- Rural Health Clinic/Center
- Atoka, OK
- NPI 1003670647
-
- General Acute Care Hospital
- Durant, OK
- NPI 1770522906
-
- Family Medicine Physician
- Kingston, OK
- NPI 1659372712
-
- Critical Access Hospital
- Madill, OK
- NPI 1467476556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599091200000",
"number": "1497800064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 BRYAN DR STE 201",
"city": "DURANT",
"state": "OK",
"postal_code": "747012157",
"telephone_number": "580-931-2290",
"fax_number": "580-931-2288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 BRYAN DR STE 201",
"city": "DURANT",
"state": "OK",
"postal_code": "747012157",
"telephone_number": "580-931-2290",
"fax_number": "580-931-2288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARUGHESE",
"first_name": "PAUL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-24",
"last_updated": "2020-09-03",
"certification_date": "2020-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME 97642",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OK",
"license": "26824",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "paul.varughese.2@4696.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "AMR Direct Address",
"address_1": "1610 W University Blvd",
"city": "Durant",
"state": "OK",
"country_code": "US",
"postal_code": "747013096",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Durant, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.