NPIMap

Individual provider Active NPI

Jogy Varghese, M.D.

  • Nephrology Physician
  • Montgomery, AL
National Provider Identifier
1841380284
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
17288 Issued in AL
Practice address
2034 Chestnut St
Montgomery, AL 36106-1111
Phone
(334) 269-0212
Fax
(334) 269-2144
NPI assigned
Oct 14, 2006
Last updated
Jan 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 17288 AL Primary

Addresses

Primary practice location

2034 Chestnut St
Montgomery, AL 36106-1111

Mailing address

2034 Chestnut St
Montgomery, AL 36106-1111
Phone (334) 269-0212

Other identifiers 4

IdentifierTypeStateIssuer
K382OtherALMEDICARE GROUP NUMBER
009991665MedicaidAL
009995115MedicaidAL
009991675MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050512001032 AL Practitioner - NephrologyPractitioner - Internal Medicine 3274574942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montgomery Kidney Specialists LLPGroup PAC ID 0345220224, 10 clinicians

Practice addresses (Care Compare)

1815 Glynwood Dr
Prattville, AL 36066-5584
Phone (334) 595-6335

2034 Chestnut St
Montgomery, AL 36106-1111
Phone (334) 269-0212

600 McQueen Smith Rd S
Prattville, AL 36066-5716
Phone (334) 361-0010

8149 Decker LN
Montgomery, AL 36117-4255
Phone (334) 694-7200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17288ALMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery Kidney Specialists, LLP CurrentSince Jan 1, 2012 Accepting new patients

Locations

2034 Chestnut St
Montgomery, AL 36106
Phone (205) 269-0212

Interoperability endpoints

  • Direct secure messaging: jogy.varghese@direct.davitaphysiciansolutions.com

Organizations & group practices 1

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.

Hospital & facility affiliations 6

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": "1160784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1841380284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2034 CHESTNUT ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061111",
            "telephone_number": "334-269-0212",
            "fax_number": "334-269-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2034 CHESTNUT ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061111",
            "telephone_number": "334-269-0212",
            "fax_number": "334-269-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGHESE",
        "first_name": "JOGY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-14",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AL",
            "license": "17288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "K382",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009991665",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009995115",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009991675",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.