Active NPI
Jeffrey John Varghese, MD
- Orthopaedic Surgery of the Spine Physician
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- 4301511770
- Practice address
- 913 E 26TH St Ste 600
Minneapolis, MN 55404-4515 - Phone
- (612) 775-6257
- NPI assigned
- Jul 2, 2018
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 25MA12179300 | NJ | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 73458 | MN | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 4301511770 | MI | Primary |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 327645 | NY |
Addresses
Primary practice location
913 E 26TH St Ste 600
Minneapolis, MN 55404-4515
Mailing address
913 E 26TH St Ste 600
Minneapolis, MN 55404-4515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
36622 5 Mile Rd
Livonia, MI 48154-1900
Phone (734) 542-0200
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 39 |
| Laminectomy or laminotomy (partial removal of spine bones) | 17 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301511770 | MI | MD | Orthopaedic Surgery of the Spine Physician |
| 73458 | MN | MD | Orthopaedic Surgery of the Spine Physician |
| 25MA12179300 | NJ | MD | Orthopaedic Surgery of the Spine Physician |
| 327645 | NY | MD | Orthopaedic Surgery of the Spine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mendelson Orthopedics PC | Current | Accepting new patients | |
| Mendelson Orthopedics PC | Orthopaedic Surgery of the Spine | Current | Accepting new patients |
| Mendelson Orthopedics PC | Current | Accepting new patients | |
| Mendelson Orthopedics PC | Orthopaedic Surgery of the Spine | Past | Accepting new patients |
Locations
7684 Solutions Ctr
#777684
Chicago, IL 60677
36622 5 Mile Rd
Ste 101
Livonia, MI 48154
Phone (734) 526-1791
36622 5 Mile Rd
Livonia, MI 48154
Phone (734) 542-0200
600 Fort St
Ste 100
Port Huron, MI 48060
Phone (810) 987-9711
35735 Mound Rd
Sterling Heights, MI 48310
Phone (586) 261-1960
35735 Mound Rd
Ste 100
Sterling Heights, MI 48310
Phone (586) 261-1960
500 Stephenson Hwy
#300
Troy, MI 48083
Phone (586) 439-6258
Interoperability endpoints
- jvarghese3592772@direct.trinity-health.org
- jvarghese1156438@direct.hfhs.org
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.
-
dba mendelson kornblum orthopedic and spine surgeons
- Orthopaedic Surgery Physician
- Sterling Heights, MI
- NPI 1720395205
Orthopaedic Surgery of the Spine
-
dba Mendelson Schoenherr
- Interventional Pain Medicine Physician
- Warren, MI
- NPI 1700239415
-
- Orthopaedic Surgery Physician
- Livonia, MI
- NPI 1720153463
-
dba mendelson kornblum orthopedic and spine surgeons
- Durable Medical Equipment & Medical Supplies
- Sterling Heights, MI
- NPI 1124336326
Orthopaedic Surgery of the Spine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. John Macomb Oakland Hospital-Warren Campus
- General Acute Care Hospital
- Warren, MI
- NPI 1124099858
-
dba St John Macomb Oakland - Oakland Center
- General Acute Care Hospital
- Madison Heights, MI
- NPI 1215139233
-
- General Acute Care Hospital
- Livonia, MI
- NPI 1790706901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714780800000",
"number": "1568958676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "913 E 26TH ST STE 600",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554044515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "913 E 26TH ST STE 600",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554044515",
"telephone_number": "612-775-6257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGHESE",
"first_name": "JEFFREY",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-02",
"last_updated": "2024-05-04",
"certification_date": "2024-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "NJ",
"license": "25MA12179300",
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "MN",
"license": "73458",
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "MI",
"license": "4301511770",
"primary": true
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "NY",
"license": "327645",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.
- 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.