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DANIELLE VERGHESE MD
NPI 1225691660
Internal Medicine in Phoenixville, PA

Active since April 22, 2019PECOS EnrolledAccepts Medicare Assignment
76.7/100
CMS Quality Rating
140 NUTT RD, PHOENIXVILLE, PA 19460(484) 628-5455 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Danielle Verghese Md NPPES

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

DANIELLE VERGHESE MD (NPI 1225691660) is an individual internal medicine provider in Phoenixville, Pennsylvania, licensed in Pennsylvania (MD477604) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Temple University School Of Medicine (2019).

NPPES Registry Identity

NPI1225691660
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDANIELLE VERGHESECredential: MD
Location Address140 NUTT RDPhoenixville, PA 19460-3906
Mailing AddressPo Box 13579Reading, PA 19612-3579 · (484) 628-1324
Phone(484) 628-5455
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2019
Enumeration DateApril 22, 2019
Last NPPES UpdateAugust 28, 2025
NPPES CertifiedAugust 28, 2025
✔ NPI 1225691660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD477604
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
140 NUTT RD, Phoenixville, PA 19460
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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

Danielle Verghese Md 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 ID8729313739
PECOS Enrollment IDI20230207002356
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 5

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.
89 services47 patients
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.
69 services36 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.
29 services29 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.
11 services11 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Phoenixville Hospital

Acute Care Hospitals · Phoenixville, PA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number390127
Location140 Nutt RoadPhoenixville, PA 19460 · Chester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19460 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
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.

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.

76.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality55.19
Promoting Interoperability98
Improvement Activities40
Cost54.93

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.

BRENDAN TANNENBAUM DO
Student in an Organized Health Care Education/Training Program
140 NUTT RD
PHOENIXVILLE, PA 19460
Chester County (610) 983-1000
DANIEL MINUKHIN DO
Student in an Organized Health Care Education/Training Program
140 NUTT RD
PHOENIXVILLE, PA 19460
Chester County (610) 983-1000
MAHESH VASUDEVAN DO
Student in an Organized Health Care Education/Training Program
140 NUTT RD
PHOENIXVILLE, PA 19460
Chester County (610) 983-1000
RAJ K. SHARMA MD
Hospitalist
140 NUTT RD
PHOENIXVILLE, PA 19460
Chester County (610) 983-1000
DR. MOHAMED MUSTAFA DARWISH MD
Internal Medicine
140 NUTT RD
PHOENIXVILLE, PA 19460
Chester County (484) 921-7311
KRISTIN M SPIEGEL MD
Student in an Organized Health Care Education/Training Program
140 NUTT RD
PHOENIXVILLE, PA 19460
Chester County (610) 983-1000
DR. AYUSHI BISARIA DPM
Podiatrist (Foot & Ankle Surgery)
140 NUTT RD
PHOENIXVILLE, PA 19460
Chester County (610) 983-1000
LISA ANNE SANTORO CRNA
Nurse Anesthetist, Certified Registered
140 NUTT RD
PHOENIXVILLE, PA 19460
Chester County (610) 983-1000

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 Danielle Verghese's NPI number?

The NPI number for Danielle Verghese is 1225691660. It was assigned to this individual provider in the NPPES registry on April 22, 2019.

Where is Danielle Verghese located?

Danielle Verghese practices at 140 Nutt Rd, Phoenixville, PA 19460. The listed phone number is (484) 628-5455.

What is Danielle Verghese's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Danielle Verghese enrolled in Medicare?

Yes. Danielle Verghese 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.

Is Danielle Verghese affiliated with any hospitals?

According to CMS data, Danielle Verghese is affiliated with Reading Hospital and Phoenixville Hospital.

When was this NPI record last updated?

The NPPES record for Danielle Verghese was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.