Individual provider Active NPI

Mohan Verghese, MD

  • Urology Physician
  • Washington, DC
National Provider Identifier
1730155391
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD14574 Issued in DC
Practice address
110 Irving St NW
RM. C-2149
Washington, DC 20010-2976
Phone
(202) 877-3968
Fax
(202) 877-8113
NPI assigned
Feb 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD14574 DC
Urology Physician 208800000X MD467181 PA
Urology Physician 208800000X MD14574 DC Primary

Addresses

Primary practice location

110 Irving St NW
RM. C-2149
Washington, DC 20010-2976

Mailing address

11412 Cushman Rd
Rockville, MD 20852-3608
Phone (301) 984-6159

Other practice location 1

120 N 7th St Ste 200
Chambersburg, PA 17201-1795
Phone (717) 217-6803

Other practice location 2

601 E Main St
Waynesboro, PA 17268-2332
Phone (717) 217-6803

Other practice location 3

24 Antrim Commons Dr
Greencastle, PA 17225-1623
Phone (717) 217-6803

Other practice location 4

354 Alexander Spring Rd Ste 3
Carlisle, PA 17015-7451
Phone (717) 217-6803

Other practice location 5

149 Lilly Rd NE
Olympia, WA 98506-5028
Phone (360) 486-6772

Other identifiers 3

IdentifierTypeStateIssuer
023408400MedicaidDC
007500726MedicaidDC
754921100MedicaidDC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mverghese879919@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20190718000161 PA Practitioner - Urology 1153402417 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

450 S Washington St
Suite E Wellspan Urology
Gettysburg, PA 17325-2500
Phone (717) 339-3150

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD467181PAMDUrology Physician
14574DCMDHome Health Aide

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Conemaugh Physician Practices LLC CurrentSince Jun 10, 2019 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
Wellspan Medical Group Current Accepting new patients
Wellspan Medical Group CurrentSince Jun 29, 2020 Accepting new patients
Wellspan Medical Group CurrentSince Jun 29, 2020 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Jun 10, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

354 Alexander Spring Rd
Ste 3
Carlisle, PA 17015
Phone (717) 217-6820

120 N 7th St
Ste 200
Chambersburg, PA 17201
Phone (717) 217-6800

450 S Washington St
Ste E
Gettysburg, PA 17325
Phone (717) 338-3285

24 Antrim Commons Dr
Greencastle, PA 17225
Phone (717) 593-0512

1227 Baltimore St
Hanover, PA 17331
Phone (717) 646-4204

1111 Franklin St
Ste 410
Johnstown, PA 15905
Phone (814) 536-7851

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

601 E Main St
Waynesboro, PA 17268
Phone (717) 765-5085

501 E Main St
Waynesboro, PA 17268
Phone (717) 765-3400

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

1600 S George St
York, PA 17403
Phone (717) 848-3615

Interoperability endpoints

  • Direct secure messaging: mverghese@medstar.direct.varian.com
  • Direct secure messaging: mverghese229088@wellspan.direct-ci.com
  • Direct secure messaging: mverghese37342@direct.conemaugh.org

Organizations & group practices 8

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 10

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": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1730155391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11412 CUSHMAN RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523608",
            "telephone_number": "301-984-6159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 IRVING ST NW",
            "address_2": "RM. C-2149",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102976",
            "telephone_number": "202-877-3968",
            "fax_number": "202-877-8113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 N 7th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011795",
            "country_code": "US",
            "telephone_number": "717-217-6803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 E Main St",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172682332",
            "country_code": "US",
            "telephone_number": "717-217-6803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 Antrim Commons Dr",
            "address_purpose": "LOCATION",
            "city": "Greencastle",
            "state": "PA",
            "postal_code": "172251623",
            "country_code": "US",
            "telephone_number": "717-217-6803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "354 Alexander Spring Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Carlisle",
            "state": "PA",
            "postal_code": "170157451",
            "country_code": "US",
            "telephone_number": "717-217-6803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "149 Lilly Rd NE",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985065028",
            "country_code": "US",
            "telephone_number": "360-486-6772",
            "fax_number": "360-455-7405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERGHESE",
        "first_name": "MOHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "DC",
            "license": "MD14574",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MD467181",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "DC",
            "license": "MD14574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023408400",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007500726",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "754921100",
            "state": "DC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mverghese879919@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "149 Lilly Rd NE",
            "city": "Olympia",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985065028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.