Active NPI
Elvin Varughesekutty, D.O
- Internal Medicine Physician
- Scranton, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OT016794
- Practice address
- 501 Madison Ave
Scranton, PA 18510-2401 - Phone
- (570) 343-2383
- NPI assigned
- Jun 23, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OT016794 | PA | Primary |
Addresses
Primary practice location
501 Madison Ave
Scranton, PA 18510-2401
Mailing address
501 Madison Ave
Scranton, PA 18510-2401
Phone (570) 343-2383
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- William Carey University College of Osteopathic Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12221 N Mopac Expy
Austin, TX 78758-2401
Phone (512) 901-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT016794 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rural Physicians Group-Pannu PLLC | Internal Medicine | Current | Accepting new patients |
| Ipc Healthcare Services of Texas, PLLC | Internal Medicine | Current | Accepting new patients |
| Lonestar Pat Associates PA | Internal Medicine | Current | Accepting new patients |
| St. David'S Healthcare Partnership, L.P., LLP | Past | Accepting new patients | |
| Lonestar Hospital Medicine Associates, PA | Internal Medicine | Past | Accepting new patients |
Locations
5575 Dtc Pkwy
Ste 225
Greenwood Village, CO 80111
1300 E 5th Ave
Winfield, KS 67156
Phone (620) 221-2300
10624 S Eastern Ave
Ste A436
Henderson, NV 89052
94220 4th St
Gold Beach, OR 97444
Phone (541) 247-3000
10300 NE Hancock St
Portland, OR 97220
Phone (503) 257-5500
1460 G St
Springfield, OR 97477
Phone (541) 431-0665
901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382
12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530
2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117
2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066
111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000
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.
-
- Hospitalist Physician
- San Antonio, TX
- NPI 1023403011
Internal Medicine
-
- Hospitalist Physician
- Greenwood Village, CO
- NPI 1861808719
Internal Medicine
-
- Hospitalist Physician
- Mansfield, TX
- NPI 1518237429
Internal Medicine
-
- General Acute Care Hospital
- Austin, TX
- NPI 1679528889
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kyle, TX
- NPI 1619115383
-
- General Acute Care Hospital
- Austin, TX
- NPI 1679528889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435017600000",
"number": "1679955900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 MADISON AVE",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185102401",
"telephone_number": "570-343-2383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 MADISON AVE",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185102401",
"telephone_number": "570-343-2383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARUGHESEKUTTY",
"first_name": "ELVIN",
"credential": "D.O",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-23",
"last_updated": "2015-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "OT016794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scranton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; 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.