DR. MATHEW SAJU VARGHESE MD
NPI 1396208351
Pediatrics in New York, NY

Active since April 08, 2019PECOS Enrolled
14 W 118TH ST, NEW YORK, NY 10026(212) 369-8339 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 9, 2026, Apr 8, 2019 (2 updates tracked since 2019).

About Dr. Mathew Saju Varghese Md NPPES

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

DR. MATHEW SAJU VARGHESE MD (NPI 1396208351) is an individual pediatrics provider in New York, New York, licensed in New York (318802) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2019).

NPPES Registry Identity

NPI1396208351
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. MATHEW SAJU VARGHESECredential: MD
Location Address14 W 118TH STNew York, NY 10026-1904
Mailing Address16064 19th AveWhitestone, NY 11357-3337 · (718) 309-9067
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2019
Enumeration DateApril 8, 2019
Last NPPES UpdateJuly 9, 20262 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
✔ NPI 1396208351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 318802
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.
14 W 118TH ST, New York, NY 10026

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mathew Saju Varghese Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173852449
PECOS Enrollment IDI20230329001887
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 Reassignment

Medicare enrollment records show Mathew Varghese reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
910 EAST 172ND STREET, BRONX FAMILY CENTER
Bronx, NY 10460
  • Reassigned Medicare billing, New York enrollment
  • 32 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10026 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

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 Mathew Varghese's NPI number?

The NPI number for Mathew Varghese is 1396208351. It was assigned to this individual provider in the NPPES registry on April 8, 2019.

Where is Mathew Varghese located?

Mathew Varghese practices at 14 W 118th St, New York, NY 10026. The listed phone number is (212) 369-8339.

What is Mathew Varghese's specialty?

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

Is Mathew Varghese enrolled in Medicare?

Yes. Mathew Varghese is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mathew Varghese's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mathew Varghese reassigns Medicare benefits to The Children's Aid Society (Bronx, NY). The 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 Mathew Varghese's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mathew Varghese was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.