Sunitha Susan Varghese, MD

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

10118040 Issued in PA

Practice address

Yale Gamma Knife Center, Smilow Cancer Hospital
35 Park Street, Ste Lower Level
New Haven, CT 06511

Phone

(203) 785-2808

NPI assigned

Jul 28, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1619640356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 ALTA RIDGE DR",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762485609",
            "telephone_number": "361-443-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "YALE GAMMA KNIFE CENTER, SMILOW CANCER HOSPITAL",
            "address_2": "35 PARK STREET, STE LOWER LEVEL",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06511",
            "telephone_number": "203-785-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGHESE",
        "first_name": "SUNITHA",
        "middle_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "10118040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeannie Vargas
• Milca Vargas
• Ronald A Vargas
• Merilyn S Varghese Thengone, M.D.
• Indu Varghese, MD
• Camille Varin-Tremblay, MS
• Ross Varma, M.D.
• Arya Giri Varthi, M.D.
• Kinjal Vasavada
• Alla V. Vash-Margita, M.D.

• Radiation Oncology Physician in New Haven, CT
• Providers in New Haven, CT by specialty
• Radiation Oncology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.

Verify at the official NPI Registry.