Tony Varghese, MD
Individual provider Active NPI Internal Medicine Physician · Baltimore, ME
NPI 1992865448 · NPPES record last updated Mar 9, 2010
Key facts
- NPI
- 1992865448
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- D0064559 (MD)
- Practice address
- 821 N Eutaw Street
Suite 308
Baltimore, ME 21201 - Phone
- (410) 383-2072
- Fax
- (410) 669-6067
- NPI assigned
- Dec 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8022 Belair Rd
Nottingham, MD 21236-3710
Phone (410) 882-0340
Hospital & facility affiliations
- Medstar Health Home Care
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070222000348 | MD | Practitioner - Internal Medicine | 5193827129 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0064559 | MD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tony Varghese MD PA., LLC | Current |
Accepting new patients |
Locations
821 N Eutaw St
Ste 308
Baltimore, MD 21201
Phone (410) 383-2072
8022 Belair Rd
Nottingham, MD 21236
Phone (410) 882-0340
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0064559 | MD | Yes |
Addresses
Primary practice location
821 N Eutaw Street
Suite 308
Baltimore, ME 21201
Mailing address
821 N Eutaw Street
Suite 308
Baltimore, ME 21201
Phone (410) 383-2072
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 901901400 | Medicaid | MD | |
| KAN7SH | Other | BCBS |
Other providers in Baltimore, ME
All providers in Baltimore, ME · Internal Medicine Physician in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.