JUSTIN VARGHESE
NPI 1003136367
Internal Medicine in Richmond, IN
About Justin Varghese NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUSTIN VARGHESE (NPI 1003136367) is an individual internal medicine provider in Richmond, Indiana, licensed in Indiana (01077384A) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Reid Health, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Justin Varghese is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
5Medicare enrollment records show Justin Varghese reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Richmond, IN 47374
- Reassigned Medicare billing, Indiana enrollment
- 527 clinicians in this Medicare group
Bloomington, IN 47408
- Reassigned Medicare billing, Indiana enrollment
- 783 clinicians in this Medicare group
Belpre, OH 45714
- Reassigned Medicare billing, West Virginia enrollment
- 1,511 clinicians in this Medicare group
Canton, OH 44708
- Reassigned Medicare billing, Ohio enrollment
- 456 clinicians in this Medicare group
Ashtabula, OH 44004
- Reassigned Medicare billing, Ohio enrollment
- 272 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Reid Health
Acute Care Hospitals · Richmond, INAscension St Vincent Randolph
Critical Access Hospitals · Winchester, INRush Memorial Hospital
Critical Access Hospitals · Rushville, INKettering Health Dayton
Acute Care Hospitals · Dayton, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 47374 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RICHMOND, IN 47374
RICHMOND, IN 47374
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Justin Varghese's NPI number?
The NPI number for Justin Varghese is 1003136367. It was assigned to this individual provider in the NPPES registry on June 9, 2010.
Where is Justin Varghese located?
Justin Varghese practices at 1100 Reid Pkwy, Richmond, IN 47374. The listed phone number is (765) 983-3000.
What is Justin Varghese's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Justin Varghese enrolled in Medicare?
Yes. Justin Varghese is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Justin Varghese's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Justin Varghese reassigns Medicare benefits to 5 organizations: Reid Physician Associates, Inc. (Richmond, IN), Indiana University Health Southern Indiana Physicians, LLC (Bloomington, IN), Charleston Area Medical Center Inc (Belpre, OH), Hospitalist Medicine Physicians Of Richland County, Ltd (Canton, OH) and Apogee Medical Group Ohio Inc (Ashtabula, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Justin Varghese's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Justin Varghese accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Justin Varghese as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Justin Varghese affiliated with any hospitals?
According to CMS data, Justin Varghese is affiliated with Reid Health, Ascension St Vincent Randolph, Rush Memorial Hospital and Kettering Health Dayton.
When was this NPI record last updated?
The NPPES record for Justin Varghese was last updated on November 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Justin Varghese · NPI 1003136367
Internal Medicine physician in Richmond, Indiana. Individual provider, active in the CMS NPPES registry since June 9, 2010.
## Identity
- **NPI:** 1003136367 (Entity type: Individual)
- **Enumerated:** June 9, 2010
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 01077384A (Indiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1100 REID PKWY, Richmond, IN 47374-1157
- **Phone:** (765) 983-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Reid Physician Associates, Inc. (NPI 1265689111, Richmond, IN); Indiana University Health Southern Indiana Physicians, LLC (NPI 1013953983, Bloomington, IN); Charleston Area Medical Center Inc (NPI 1588422547, Belpre, OH); Hospitalist Medicine Physicians Of Richland County, Ltd (NPI 1639119027, Canton, OH); Apogee Medical Group Ohio Inc (NPI 1477500999, Ashtabula, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** November 1, 2021
- **Other identifiers:** Medicaid 300032913 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1003136367) · Data from the CMS NPPES public registry.