Individual provider Active NPI

Kevin Shaji Varghese, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Webster, TX
National Provider Identifier
1780565085
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1036429 Issued in TX
Practice address
150 E Medical Center Blvd Ste a
Webster, TX 77598-4373
Phone
(281) 481-4646
Fax
(281) 481-4649
NPI assigned
Sep 11, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1036429 TX Primary

Addresses

Primary practice location

150 E Medical Center Blvd Ste a
Webster, TX 77598-4373

Mailing address

150 E Medical Center Blvd Ste a
Webster, TX 77598-4373
Phone (281) 481-4646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20251030001539 TX Practitioner - Nurse Practitioner 4981193810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Altaf Loya MD PAGroup PAC ID 9335196336, 6 clinicians

Practice addresses (Care Compare)

150 E Medical Ctr Blvd a
Beyond Psychiatry Behavioral Health
Webster, TX 77598-4373
Phone (281) 481-4646

Hospital & facility affiliations

  • HCA Houston Healthcare Clear Lake Hospital, Webster, TX, CCN 450617

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1036429TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Altaf Loya MD P.a. CurrentSince Oct 15, 2025 Accepting new patients
Aslam Loya, M.D. P.a Past Accepting new patients

Locations

11920 Astoria Blvd
Ste 110
Houston, TX 77089
Phone (281) 464-8484

150 E Medical Center Blvd
Webster, TX 77598
Phone (281) 481-4646

150 E Medical Center Blvd
Ste A
Webster, TX 77598
Phone (281) 481-4646

Organizations & group practices 2

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": "1757548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1780565085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E MEDICAL CENTER BLVD STE A",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984373",
            "telephone_number": "281-481-4646",
            "fax_number": "281-481-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E MEDICAL CENTER BLVD STE A",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984373",
            "telephone_number": "281-481-4646",
            "fax_number": "281-481-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGHESE",
        "first_name": "KEVIN",
        "middle_name": "SHAJI",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-11",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1036429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.