Individual provider Active NPI

Joseph K Varghese, M.D.

  • Pulmonary Disease Physician
  • Flint, MI
National Provider Identifier
1740280049
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
4301043552 Issued in MI
Practice address
2284 S Ballenger Hwy Ste H-2
Flint, MI 48503-3446
Phone
(810) 720-1144
Fax
(810) 720-1166
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 4301043552 MI Primary

Addresses

Primary practice location

2284 S Ballenger Hwy Ste H-2
Flint, MI 48503-3446

Mailing address

2284 S Ballenger Hwy Ste H-2
Flint, MI 48503-3446
Phone (810) 720-1144

Other identifiers 1

IdentifierTypeStateIssuer
4944058MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20070115000304 MI Practitioner - Pulmonary Disease 8527065861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chest and Sleep Medicine Consultants,PLCGroup PAC ID 5698775781, 6 clinicians

Practice addresses (Care Compare)

2284 S Ballenger Hwy
Suite H 2
Flint, MI 48503-3446
Phone (810) 720-1144

Hospital & facility affiliations

  • McLaren Flint Hospital, Flint, MI, CCN 230141

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chest and Sleep Medicine Consultants,PLC Pulmonary Disease CurrentSince Jan 1, 2007 Accepting new patients
Breathe LLC Pulmonary Disease PastSince Jan 1, 2007 Accepting new patients
Pulmonary Associates, PC Pulmonary Disease Past Accepting new patients

Locations

2284 S Ballenger Hwy
Ste H2
Flint, MI 48503
Phone (810) 342-2000

3500 Calkins Rd
Ste B
Flint, MI 48532
Phone (810) 396-4170

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

G3535 Beecher Rd
Ste A
Flint, MI 48532
Phone (810) 720-1144

Organizations & group practices 3

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 1

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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1740280049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2284 S BALLENGER HWY STE H-2",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485033446",
            "telephone_number": "810-720-1144",
            "fax_number": "810-720-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2284 S BALLENGER HWY STE H-2",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485033446",
            "telephone_number": "810-720-1144",
            "fax_number": "810-720-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGHESE",
        "first_name": "JOSEPH",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "4301043552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4944058",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.