NPIMap

Individual provider Active NPI

Regi Varghese, M.D.

  • Internal Medicine Physician
  • Louisville, KY
National Provider Identifier
1922062827
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
33222 Issued in KY
Practice address
100 Mallard Creek Rd Ste 320
Louisville, KY 40207-5136
Phone
(502) 855-6125
Fax
(502) 394-1972
NPI assigned
Apr 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01046412A IN
Internal Medicine Physician 207R00000X 33222 KY Primary

Addresses

Primary practice location

100 Mallard Creek Rd Ste 320
Louisville, KY 40207-5136

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 272-5395

Other identifiers 3

IdentifierTypeStateIssuer
P00476429OtherKYRAILROAD MEDICARE PTAN
64332224MedicaidKY
110150805OtherKYRAILROAD MEDICARE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rvarghese40238@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20050112000590 KY Practitioner - Internal Medicine 3678521069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

100 Mallard Creek Rd
Louisville, KY 40207-5136

2949 Breckenridge LN
Louisville, KY 40220-1408
Phone (502) 891-8300

825 Barret Ave
Louisville, KY 40204-1743
Phone (502) 272-5165

Hospital & facility affiliations

  • Caretenders Home health agency, Louisville, KY, CCN 187152
  • Vna Health at Home Home health agency, Louisville, KY, CCN 187000
  • Housecall Home Health, LLC Dba Adoration Home Health Home health agency, Louisville, KY, CCN 187059
  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088
  • Baptist Health Lagrange Hospital, La Grange, KY, CCN 180138
  • Baptist Health Louisville Hospital, Louisville, KY, CCN 180130

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01046412AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. Internal Medicine CurrentSince Aug 21, 2010 Accepting new patients
Community Medical Associates, Inc. Internal Medicine CurrentSince Aug 21, 2010 Accepting new patients

Locations

3991 Dutchmans Ln
Ste 208
Louisville, KY 40207
Phone (502) 897-2440

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

100 Mallard Creek Rd
Ste 320
Saint Matthews, KY 40207
Phone (502) 690-8782

Organizations & group practices 3

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 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1922062827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-272-5395",
            "fax_number": "502-272-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MALLARD CREEK RD STE 320",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402075136",
            "telephone_number": "502-855-6125",
            "fax_number": "502-394-1972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGHESE",
        "first_name": "REGI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01046412A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "33222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P00476429",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64332224",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110150805",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rvarghese40238@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "100 Mallard Creek Rd",
            "address_2": "Ste.320",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402074194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/",
            "affiliation": "N",
            "address_1": "100 Mallard Creek Rd",
            "address_2": "Ste.320",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402074194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.