Individual provider Active NPI

Sheaba Lee Varghese, M.D.

  • Pediatric Anesthesiology Physician
  • Little Rock, AR
National Provider Identifier
1871930529
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Anesthesiology PhysicianTaxonomy code 207LP3000X
License
E-15643 Issued in AR
Practice address
1 Childrens Way # 203
Little Rock, AR 72202-3500
Phone
(501) 364-3933
Fax
(501) 364-2939
NPI assigned
Jun 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Anesthesiology Physician 207LP3000X 35.142500 OH
Pediatric Anesthesiology Physician 207LP3000X C7-0006427 DE
Pediatric Anesthesiology Physician 207LP3000X MD463825 PA
Pediatric Anesthesiology Physician 207LP3000X 25MA10394200 NJ
Pediatric Anesthesiology Physician 207LP3000X 58878 KY
Pediatric Anesthesiology Physician 207LP3000X E-15643 AR Primary

Addresses

Primary practice location

1 Childrens Way # 203
Little Rock, AR 72202-3500

Mailing address

1 Childrens Way # 653
Little Rock, AR 72202-3500
Phone (501) 364-1100

Other practice location 1

1600 Rockland Rd
Wilmington, DE 19803
Phone (302) 651-4000

Other practice location 2

825 Old Lancaster Rd Ste 250
Bryn Mawr, PA 19010-3239
Phone (610) 542-3300

Other practice location 3

1280 Almonesson Rd
Deptford, NJ 08096-5502
Phone (856) 345-1403

Other practice location 4

800 Rose St
Lexington, KY 40536-3500
Phone (859) 323-5956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210715004204 OH Practitioner - Anesthesiology 0749586477 Reassigns benefits to 1 organization
I20240229004361 KY Practitioner - Anesthesiology 0749586477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3333 Burnet Ave
Cincinnati, OH 45229-3026
Phone (513) 636-4200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C7-0006427DEMDPediatric Anesthesiology Physician
58878KYMDPediatric Anesthesiology Physician
25MA10394200NJMDPediatric Anesthesiology Physician
MD463825PAMDPediatric Anesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kentucky CurrentSince Feb 13, 2024 Accepting new patients
Children'S Hospital Medical Center Pediatric Anesthesiology CurrentSince Jul 19, 2021 Accepting new patients

Locations

3341 Solutions Ctr
Chicago, IL 60677

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

3333 Burnet Ave
#5021
Cincinnati, OH 45229
Phone (513) 636-4225

3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200

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.

NPI Registry JSON

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1871930529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHILDRENS WAY # 653",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722023500",
            "telephone_number": "501-364-1100",
            "fax_number": "501-364-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHILDRENS WAY # 203",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722023500",
            "telephone_number": "501-364-3933",
            "fax_number": "501-364-2939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Rockland Rd",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "19803",
            "country_code": "US",
            "telephone_number": "302-651-4000",
            "fax_number": "302-651-5365",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "825 Old Lancaster Rd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Bryn Mawr",
            "state": "PA",
            "postal_code": "190103239",
            "country_code": "US",
            "telephone_number": "610-542-3300",
            "fax_number": "610-542-3284",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1280 Almonesson Rd",
            "address_purpose": "LOCATION",
            "city": "Deptford",
            "state": "NJ",
            "postal_code": "080965502",
            "country_code": "US",
            "telephone_number": "856-345-1403",
            "fax_number": "856-805-9370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Rose St",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405363500",
            "country_code": "US",
            "telephone_number": "859-323-5956",
            "fax_number": "859-323-1080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARGHESE",
        "first_name": "SHEABA",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-03",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "OH",
            "license": "35.142500",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "DE",
            "license": "C7-0006427",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "PA",
            "license": "MD463825",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "NJ",
            "license": "25MA10394200",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "KY",
            "license": "58878",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "AR",
            "license": "E-15643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.