Active NPI
Suma Vinu Varghese, CRNP
- Gerontology Nurse Practitioner
- Plymouth Meeting, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- SP028310
- Practice address
- 2901 Jolly Rd
Plymouth Meeting, PA 19462-2324 - Phone
- (610) 272-8221
- NPI assigned
- Sep 26, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | SP028310 | PA | |
| Gerontology Nurse Practitioner | 363LG0600X | SP028310 | PA | Primary |
Addresses
Primary practice location
2901 Jolly Rd
Plymouth Meeting, PA 19462-2324
Mailing address
9968 Gardenia LN
Philadelphia, PA 19115-1100
Phone (215) 720-5728
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- H2 Rehabilitation Extension Services LLC
Practice addresses (Care Compare)
137 Montgomery Ave
Suite 205
Boyertown, PA 19512-1300
Phone (484) 658-3150
2901 Jolly Rd
Plymouth Meeting, PA 19462-2324
Phone (610) 272-8221
7 S New St
Suite 1
Nazareth, PA 18064-2225
Phone (610) 755-8634
Hospital & facility affiliations
- Accentcare Health of Pennsylvania
- Mercy Home Health
- Vitality Hospice and Palliative Care
- Doylestown Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP028310 | PA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suburban Geriatrics, Inc. | Current | Accepting new patients | |
| Violet Valley Long Term Care PC | Current | Accepting new patients | |
| Suburban Geriatrics II PC | Current | Accepting new patients |
Locations
2901 Jolly Rd
Plymouth Mtng, PA 19462
Phone (610) 272-3222
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Plymouth Meeting, PA
- NPI 1073273363
-
- Geriatric Medicine (Internal Medicine) Physician
- Plymouth Meeting, PA
- NPI 1679594808
-
- Geriatric Medicine (Internal Medicine) Physician
- Plymouth Meeting, PA
- NPI 1649164617
-
- Internal Medicine Physician
- Plymouth Meeting, PA
- NPI 1568122844
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Doylestown, PA
- NPI 1225091697
-
- Home Health Agency
- Newtown, PA
- NPI 1467412296
-
- Home Health Agency
- Bristol, PA
- NPI 1518901610
-
- Community Based Hospice Care Agency
- Langhorne, PA
- NPI 1245973288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695686400000",
"number": "1871372045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9968 GARDENIA LN",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191151100",
"telephone_number": "215-720-5728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 JOLLY RD",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194622324",
"telephone_number": "610-272-8221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGHESE",
"first_name": "SUMA",
"middle_name": "VINU",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-26",
"last_updated": "2023-09-26",
"certification_date": "2023-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "PA",
"license": "SP028310",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "PA",
"license": "SP028310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth Meeting, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.