Mathulla Geevarghese, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME63605 Issued in FL

Practice address

1101
N.W -134 Avenue
Sunrise, FL 33323-2914

Phone

(954) 846-7588

NPI assigned

Dec 20, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• FL-I Medical Services, LLC

  • Physician Assistant
  • Margate, FL
  • NPI 1780959643
  NPD (past)

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409702400000",
    "number": "1730165853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 N-W-134 AVE",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232914",
            "telephone_number": "954-846-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101",
            "address_2": "N.W -134 AVENUE",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232914",
            "telephone_number": "954-846-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEEVARGHESE",
        "first_name": "MATHULLA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2014-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME63605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372687800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nestle Garupa, PT
• Elizabeth Gauthier, CRNA
• Patrick F. Gavin, CRNA
• Marvin Andre Gaye
• Jennifer Johnson Gayler
• Kerline Rose Geffrard
• Paige Taylor Gelberg, DC
• Marisol G. Gelfand
• Shauniel Gellineau
• Genesis Behavioral Services and Consulting Inc

• Pediatrics Physician in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; 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.