DR. MELVIN VARGHESE M.D., MPH
NPI 1043607898
Family Medicine in East Norriton, PA

Active since April 20, 2015PECOS EnrolledAccepts Medicare Assignment
559 W GERMANTOWN PIKE, EAST NORRITON, PA 19403(484) 622-4245 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Dec 19, 2017 (3 updates tracked since 2017).

About Dr. Melvin Varghese M.d., Mph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MELVIN VARGHESE M.D., MPH (NPI 1043607898) is an individual family medicine provider in East Norriton, Pennsylvania, licensed in Pennsylvania (MD461384) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Einstein Medical Center Montgomery, and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1043607898
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MELVIN VARGHESECredential: M.D., MPH
Location Address559 W GERMANTOWN PIKEEast Norriton, PA 19403-4250
Mailing Address101 E Olney Ave Fl 4Philadelphia, PA 19120-2480 · (484) 622-4245
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 20, 2015
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1043607898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · MD461384
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

559 W GERMANTOWN PIKE, East Norriton, PA 19403

Secondary Practice Location 1

Location 1121 Dekalb AveBrooklyn, NY 11201-5425 · Phone (718) 250-8000 · Fax (718) 250-8878

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Melvin Varghese M.d., Mph 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.

PECOS PAC ID5294006383
PECOS Enrollment IDI20170808002518
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
48 services38 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
36 services35 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
22 services22 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Einstein Medical Center Montgomery

Acute Care Hospitals · East Norriton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390329
Location559 West Germantown PikeEast Norriton, PA 19403 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Nurse Practitioner (Acute Care)
559 W GERMANTOWN PIKE
EAST NORRITON, PA 19403
Hospitalist
559 W GERMANTOWN PIKE
EAST NORRITON, PA 19403
Internal Medicine
559 W GERMANTOWN PIKE
EAST NORRITON, PA 19403
Pediatrics
559 W GERMANTOWN PIKE, ROOM 2242
EAST NORRITON, PA 19403
Internal Medicine
559 W GERMANTOWN PIKE
EAST NORRITON, PA 19403
Student in an Organized Health Care Education/Training Program
559 W GERMANTOWN PIKE
EAST NORRITON, PA 19403
Emergency Medicine
559 W GERMANTOWN PIKE
EAST NORRITON, PA 19403
Nurse Practitioner (Acute Care)
559 W GERMANTOWN PIKE
EAST NORRITON, PA 19403

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 Melvin Varghese's NPI number?

The NPI number for Melvin Varghese is 1043607898. It was assigned to this individual provider in the NPPES registry on April 20, 2015.

Where is Melvin Varghese located?

Melvin Varghese practices at 559 W Germantown Pike, East Norriton, PA 19403. The listed phone number is (484) 622-4245.

What is Melvin Varghese's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Melvin Varghese enrolled in Medicare?

Yes. Melvin 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.

What insurance does Melvin Varghese accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Melvin 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 Melvin Varghese affiliated with any hospitals?

According to CMS data, Melvin Varghese is affiliated with Einstein Medical Center Montgomery.

When was this NPI record last updated?

The NPPES record for Melvin Varghese was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.