Individual provider Active NPI

Jeffrey John Varghese, MD

  • Orthopaedic Surgery of the Spine Physician
  • Minneapolis, MN
National Provider Identifier
1568958676
Registry record updated May 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
4301511770 Issued in MI
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

Updated by the provider on May 4, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240615000336 MI Practitioner - Orthopedic Surgery 3971046145 Reassigns benefits to 1 organization

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
Mendelson Orthopedics PCGroup PAC ID 8426008368, 69 clinicians

Practice addresses (Care Compare)

36622 5 Mile Rd
Livonia, MI 48154-1900
Phone (734) 542-0200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion39
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

LicenseStateTypeSpecialty
4301511770MIMDOrthopaedic Surgery of the Spine Physician
73458MNMDOrthopaedic Surgery of the Spine Physician
25MA12179300NJMDOrthopaedic Surgery of the Spine Physician
327645NYMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mendelson Orthopedics PC CurrentSince Jul 15, 2024 Accepting new patients
Mendelson Orthopedics PC Orthopaedic Surgery of the Spine Current Accepting new patients
Mendelson Orthopedics PC CurrentSince Jul 15, 2024 Accepting new patients
Mendelson Orthopedics PC Orthopaedic Surgery of the Spine PastSince Jul 21, 2024 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

  • Direct secure messaging: jvarghese3592772@direct.trinity-health.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.