Active NPI
Praymol Varghese
- Psychiatry Physician
- Gaithersburg, MD
National Provider Identifier
1992858567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- D0028182
- Practice address
- 8929 Shady Grove CT
Gaithersburg, MD 20877-1308 - Phone
- (301) 990-6653
- Fax
- (301) 977-5930
- NPI assigned
- Jan 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | D0028182 | MD | Primary |
Addresses
Primary practice location
8929 Shady Grove CT
Gaithersburg, MD 20877-1308
Mailing address
13128 Brushwood Way
Potomac, MD 20854-1025
Phone (301) 990-6653
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 53407706 | Other | MD | BLUE CROSS BLUE SHIELD |
| 222721500 | Medicaid | MD | |
| 453357 | Other | MD | MAMSI |
Other names 1
- Dr. Praymol Varghese
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0028182 | MD | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychogeriatric Services LLC | Psychiatry | Past | Accepting new patients |
Organizations & group practices 1
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": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212451200000",
"number": "1992858567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13128 BRUSHWOOD WAY",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208541025",
"telephone_number": "301-990-6653",
"fax_number": "301-977-5930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8929 SHADY GROVE CT",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208771308",
"telephone_number": "301-990-6653",
"fax_number": "301-977-5930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGHESE",
"first_name": "PRAYMOL",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2008-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D0028182",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "53407706",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "222721500",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "453357",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PRAYMOL",
"last_name": "VARGHESE",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.