Active NPI
Mohan Verghese, MD
- Urology Physician
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- MD14574
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 023408400 | Medicaid | DC | |
| 007500726 | Medicaid | DC | |
| 754921100 | Medicaid | DC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD467181 | PA | MD | Urology Physician |
| 14574 | DC | MD | Home Health Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Conemaugh Physician Practices LLC | Current | Accepting new patients | |
| DLP Conemaugh Physician Practices LLC | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| DLP Conemaugh Physician Practices LLC | Current | 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
- mverghese@medstar.direct.varian.com
- mverghese229088@wellspan.direct-ci.com
- 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.
-
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
- Family Medicine Physician
- Cresson, PA
- NPI 1932515905
-
- Family Medicine Physician
- Somerset, PA
- NPI 1164838512
-
- Internal Medicine Physician
- Johnstown, PA
- NPI 1205242609
-
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
- Family Medicine Physician
- New Oxford, PA
- NPI 1841935186
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chambersburg, PA
- NPI 1902804552
-
- General Acute Care Hospital
- Gettysburg, PA
- NPI 1265466957
-
- General Acute Care Hospital
- York, PA
- NPI 1326060492
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.
- 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.