Individual provider Active NPI

Amabel Joyce Varghese, MD

  • Family Medicine Physician
  • Edmond, OK
National Provider Identifier
1962068171
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34738 Issued in OK
Practice address
15112 Traditions Blvd Ste a
Edmond, OK 73013-1182
Phone
(405) 289-0483
Fax
(405) 266-6609
NPI assigned
May 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34738 OK Primary

Addresses

Primary practice location

15112 Traditions Blvd Ste a
Edmond, OK 73013-1182

Mailing address

15112 Traditions Blvd Ste a
Edmond, OK 73013-1182
Phone (405) 289-0483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 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
I20221103001085 OK Practitioner - Family Practice 8527435585 Reassigns benefits to 3 organizations
I20231214000384 TX Practitioner - Family Practice 8527435585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimum Primary Care PLLCGroup PAC ID 2264853928, 14 clinicians
Optimum Post Acute Care PLLCGroup PAC ID 5799162111, 18 clinicians

Practice addresses (Care Compare)

1501 E 19TH St
Edmond, OK 73013-6618
Phone (405) 471-6511

Merit-based Incentive Payment System (MIPS)

Final score
77.07 of 100Reported as group
Quality
73.06
Improvement activities
40
Cost
69.92

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Primary Care PLLC Family Medicine CurrentSince Aug 23, 2025 Accepting new patients
Optimum Post Acute Care PLLC CurrentSince Aug 23, 2025 Accepting new patients
Choctaw Nation of Oklahoma Current Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Dec 4, 2023 Accepting new patients
Deng Family Medicine Center, PC CurrentSince Sep 15, 2025 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Dec 4, 2023 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

1585 W Liberty Rd
Atoka, OK 74525
Phone (580) 889-1981

1300 E Martin Luther King Dr
Broken Bow, OK 74728
Phone (580) 208-2204

1501 E 19th St
Edmond, OK 73013
Phone (405) 348-6611

105 S Bryant Ave
Ste 108
Edmond, OK 73034
Phone (405) 359-9669

410 N M St
Hugo, OK 74743
Phone (580) 326-7561

902 E Lincoln Rd
Idabel, OK 74745
Phone (580) 286-2600

1127 S George Nigh Expy
McAlester, OK 74501
Phone (800) 349-7026

8900 SE 15th St
Oklahoma City, OK 73110
Phone (405) 737-0240

109 Kerr Blvd
Poteau, OK 74953
Phone (918) 649-1100

2204 E Main St
Stigler, OK 74462
Phone (918) 967-9200

1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440

205 Dallas St
Talihina, OK 74571
Phone (918) 567-3636

Organizations & group practices 7

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": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1962068171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15112 TRADITIONS BLVD STE A",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730131182",
            "telephone_number": "405-289-0483",
            "fax_number": "405-266-6609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15112 TRADITIONS BLVD STE A",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730131182",
            "telephone_number": "405-289-0483",
            "fax_number": "405-266-6609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGHESE",
        "first_name": "AMABEL",
        "middle_name": "JOYCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-13",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "34738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.