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MARY VERGHESE MD
NPI 1265466908
Pediatrics in Indianapolis, IN

Active since July 10, 2006PECOS Enrolled
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202(317) 944-3636(317) 948-5844 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 21, 2024, Jan 11, 2023, Mar 6, 2021 (3 updates tracked since 2021).

About Mary Verghese Md NPPES

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

MARY VERGHESE MD (NPI 1265466908) is an individual pediatrics provider in Indianapolis, Indiana, licensed in Indiana (01059018A) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265466908
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMARY VERGHESECredential: MD
Location Address705 RILEY HOSPITAL DRIndianapolis, IN 46202-5109
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Phone(317) 944-3636
Fax(317) 948-5844
Sole ProprietorNo
Enumeration DateJuly 10, 2006
Last NPPES UpdateNovember 21, 20243 updates tracked since enumeration
NPPES CertifiedNovember 21, 2024
✔ NPI 1265466908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IN · 01059018A
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 01059018A (IN)
Also ListedPediatrics · Pediatric Emergency MedicineTaxonomy 2080P0204X · License 01059018 (IN)
705 RILEY HOSPITAL DR, Indianapolis, IN 46202
Open in Google Maps ↗

Other Identifiers 2

Medicaid200481970IN
Other000000741646IN · Anthem Pin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Verghese Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

4

Medicare enrollment records show Mary Verghese reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Iu Health Medical Group Riley Specialists, LLC
Same address
Pediatrics
705 RILEY HOSPITAL DR
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 523 clinicians in this Medicare group
NPI 1699561480 (317) 944-5000
Indiana University Health Care Associates, Inc
0.8 mi
General Practice
340 W TENTH ST
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 1,781 clinicians in this Medicare group
NPI 1902032832 (317) 278-3505
Iu Health Medical Group, LLC
1.2 mi
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
NPI 1326893777 (317) 962-2000
Indiana Clinic Critical Care LLC
1.3 mi
Pulmonary Disease
1801 N SENATE BLVD, STE 230
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 318 clinicians in this Medicare group
NPI 1417285230 (317) 962-5820

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

MOHANNAD MOALLEM M.D.
Pediatrics (Neonatal-Perinatal Medicine)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 274-4779
TIA IMHOFF MCGEE FNP-BC
Nurse Practitioner (Family)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 312-2204
JOSHUA WAYNE GOLLUB
Pediatrics (Neonatal-Perinatal Medicine)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 274-4779
NOAH MENAKER DDS
Dentist (Pediatric Dentistry)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 944-3865
DR. ANAS NADER ATA ALJABARI MBBS
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (856) 398-9630
TALIA RAE BOOHER MB BCH BAO
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 944-7571
JANET R SHAVER NP
Nurse Practitioner (Pediatrics)
705 RILEY HOSPITAL DR, RI 1601
INDIANAPOLIS, IN 46202
Marion County (317) 944-4842
UNIVERSITY PEDIATRIC DENTISTRY ASSOCIATES
Dentist (Pediatric Dentistry)
705 RILEY HOSPITAL DR, ROC - SUITE 4205
INDIANAPOLIS, IN 46202
Marion County (317) 944-9604

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 Mary Verghese's NPI number?

The NPI number for Mary Verghese is 1265466908. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Mary Verghese located?

Mary Verghese practices at 705 Riley Hospital Dr, Indianapolis, IN 46202. The listed phone number is (317) 944-3636.

What is Mary Verghese's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mary Verghese enrolled in Medicare?

Yes. Mary Verghese is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mary Verghese's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Verghese reassigns Medicare benefits to 4 organizations: Iu Health Medical Group Riley Specialists, LLC (Indianapolis, IN), Indiana University Health Care Associates, Inc (Indianapolis, IN), Iu Health Medical Group, LLC (Indianapolis, IN) and Indiana Clinic Critical Care LLC (Indianapolis, IN). 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 Mary Verghese's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Verghese accept?

Health plans from CareSource and Cigna Healthcare list Mary Verghese 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 Mary Verghese was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.