Individual provider Active NPI

Tony Varghese, MD

  • Internal Medicine Physician
  • Baltimore, ME
National Provider Identifier
1992865448
Registry record updated Mar 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0064559 Issued in 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
Last updated
Mar 9, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0064559 MD Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070222000348 MD Practitioner - Internal Medicine 5193827129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0064559MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tony Varghese MD PA., LLC CurrentSince Nov 1, 2013 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268092800000",
    "number": "1992865448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 N EUTAW STREET",
            "address_2": "SUITE 308",
            "city": "BALTIMORE",
            "state": "ME",
            "postal_code": "21201",
            "telephone_number": "410-383-2072",
            "fax_number": "410-669-6067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 N EUTAW STREET",
            "address_2": "SUITE 308",
            "city": "BALTIMORE",
            "state": "ME",
            "postal_code": "21201",
            "telephone_number": "410-383-2072",
            "fax_number": "410-669-6067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGHESE",
        "first_name": "TONY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2010-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0064559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, ME

Sources for this page

Verify at the official NPI Registry.