SUJA VARGHESE NP
NPI 1215554175
Nurse Practitioner - Acute Care in Fort Worth, TX

Active since June 26, 2020PECOS EnrolledAccepts Medicare Assignment
75.27/100
CMS Quality Rating
1301 PENNSYLVANIA AVE, FORT WORTH, TX 76104(817) 250-4906 Get Directions Write a Review

NPPES record last updated: September 17, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 17, 2020, Jun 26, 2020 (2 updates tracked since 2020).

About Suja Varghese Np NPPES

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

SUJA VARGHESE NP (NPI 1215554175) is an individual acute care provider in Fort Worth, Texas, licensed in Texas (AP145575) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1215554175
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameSUJA VARGHESECredential: NP
Location Address1301 PENNSYLVANIA AVEFort Worth, TX 76104-2122
Mailing Address1301 Pennsylvania AveFort Worth, TX 76104-2122 · (817) 250-4906
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 26, 2020
Last NPPES UpdateSeptember 17, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2020
✔ NPI 1215554175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in TX · AP145575
1301 PENNSYLVANIA AVE, Fort Worth, TX 76104

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

Suja Varghese Np 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 ID244659381
PECOS Enrollment IDI20200923001918
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Suja Varghese reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1301 PENNSYLVANIA AVE
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 1,639 clinicians in this Medicare group
Psychiatry
240 N MILLER RD
Mansfield, TX 76063
  • Reassigned Medicare billing, Texas enrollment
  • 284 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

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 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
132 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

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.

75.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.07
Promoting Interoperability100
Improvement Activities40
Cost49.5

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.

Pediatrics
1301 PENNSYLVANIA AVE, DEPARTMENT OF NEONATOLOGY
FORT WORTH, TX 76104
Internal Medicine
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Registered Nurse (Neonatal Intensive Care)
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Nurse Practitioner (Neonatal)
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Pharmacist
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Nurse Practitioner (Neonatal)
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Nurse Anesthetist, Certified Registered
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Nurse Practitioner (Neonatal, Critical Care)
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104

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 Suja Varghese's NPI number?

The NPI number for Suja Varghese is 1215554175. It was assigned to this individual provider in the NPPES registry on June 26, 2020.

Where is Suja Varghese located?

Suja Varghese practices at 1301 Pennsylvania Ave, Fort Worth, TX 76104. The listed phone number is (817) 250-4906.

What is Suja Varghese's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Suja Varghese enrolled in Medicare?

Yes. Suja 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 Suja Varghese's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Suja Varghese reassigns Medicare benefits to 2 organizations: Texas Health Physicians Group (Fort Worth, TX) and Texas Health Virtual Care (Mansfield, TX). 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 Suja Varghese's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Suja Varghese accept?

Health plans from Blue Cross and Blue Shield of Texas list Suja 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.

When was this NPI record last updated?

The NPPES record for Suja Varghese was last updated on September 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.