VARGHESE KODIYAN PA
NPI 1003175753
Social Worker - Clinical in Tampa, FL
About Varghese Kodiyan Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VARGHESE KODIYAN PA (NPI 1003175753) is a healthcare organization registered as a clinical in Tampa, Florida and active in the NPI registry since May 2012. The organization lists Varghese Kodiyan, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Varghese Kodiyan Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Varghese Kodiyan PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Varghese Kodiyan PA's NPI number?
The NPI number for Varghese Kodiyan PA is 1003175753. It was assigned to this organization in the NPPES registry on May 15, 2012.
Where is Varghese Kodiyan PA located?
Varghese Kodiyan PA is located at 602 Shellcracker Ct, Tampa, FL 33613. The listed phone number is (813) 245-7326.
What is Varghese Kodiyan PA's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Varghese Kodiyan PA enrolled in Medicare?
Yes. Varghese Kodiyan PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Varghese Kodiyan PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Varghese Kodiyan PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Varghese Kodiyan PA was last updated on May 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Varghese Kodiyan Pa · NPI 1003175753
Clinical organization in Tampa, Florida. Organization record, active in the CMS NPPES registry since May 15, 2012.
## Identity
- **NPI:** 1003175753 (Entity type: Organization)
- **Enumerated:** May 15, 2012
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **Organization subpart:** No
- **Authorized official:** Varghese Kodiyan, PRESIDENT
## Practice location
- **Address:** 602 SHELLCRACKER CT, Tampa, FL 33613
- **Phone:** (813) 245-7326
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 15, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1003175753) · Data from the CMS NPPES public registry.