Tina Varughese

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

LG-0011649 Issued in DE

Practice address

807 S Bradford St
Dover, DE 19904-4137

Phone

(302) 674-7155

NPI assigned

Jul 29, 2020

Last updated

Jan 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Kent Pulmonary AssociatesGroup PAC ID 8921018334, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayhealth Medical Center, Kent Campus Hospital, Dover, DE, CCN 080004
• Bayhealth Hospital, Sussex Campus Hospital, Milford, DE, CCN 080009
• Christiana Hospital Hospital, Newark, DE, CCN 080001

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kent Pulmonary Associates

  • Pulmonary Disease Physician
  • Dover, DE
  • NPI 1801801675

  Multi-Specialty

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bayhealth Medical Center, Inc.

  dba Bayhealth Hospital, Sussex Campus

  • General Acute Care Hospital
  • Milford, DE
  • NPI 1023006434
  Care Compare affiliation
• Bayhealth Medical Center, Inc.

  dba Bayhealth Hospital, Kent Campus

  • General Acute Care Hospital
  • Dover, DE
  • NPI 1467546135
  Care Compare affiliation
• Christiana Care Health Services, Inc.

  dba Christiana Care

  • General Acute Care Hospital
  • Wilmington, DE
  • NPI 1134194038
  Care Compare affiliation

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1770192320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 S BRADFORD ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044137",
            "telephone_number": "302-674-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 S BRADFORD ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044137",
            "telephone_number": "302-674-7155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARUGHESE",
        "first_name": "TINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0011649",
            "primary": true
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "TX",
            "license": "906963",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marjie Vance-George, COTA/L
• Vanessa Vanderslice, BCBA
• John E. Vanderven Jr., LPCMH
• Jessica Marie Vanek, O. D.
• Shawn Michelle Vanvessen, L.C.S.W.
• Angela Vassallo
• Vassallo's Mental Health Services LLC
• Thomas E Vaughan, MD
• Jennifer Lynn Velez, PHARMD
• Lauren R Velkoff, PA-C

• Family Nurse Practitioner in Dover, DE
• Providers in Dover, DE by specialty
• Family Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.

Verify at the official NPI Registry.