Reverse Cardiodiabetes Center PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

REVERSE CARDIODIABETES CENTER PLLC

Practice address

25311 Interstate 45 BLDG 6
The Woodlands, TX 77380-3534

Phone

(281) 866-7701

Fax

(281) 866-7705

NPI assigned

Jan 10, 2019

Organization subpart

No

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

Authorized official

Name

Annie Varughese, MDNPI 1639112170

Title

Owner

Phone

(281) 866-7701

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Annie T Varughese, M.D.

  • Cardiovascular Disease Physician
  • The Woodlands, TX
  • NPI 1639112170
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547078400000",
    "number": "1982177028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25311 INTERSTATE 45 BLDG 6",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803534",
            "telephone_number": "281-866-7701",
            "fax_number": "281-866-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25311 INTERSTATE 45 BLDG 6",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803534",
            "telephone_number": "281-866-7701",
            "fax_number": "281-866-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVERSE CARDIODIABETES CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-10",
        "last_updated": "2019-01-10",
        "status": "A",
        "authorized_official_last_name": "VARUGHESE",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-866-7701",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.