MS. RAJI P VARUGHESE ANP
NPI 1528444726
Nurse Practitioner - Adult Health in Saint Louis, MO

Active since August 11, 2015PECOS EnrolledAccepts Medicare Assignment
3009 N BALLAS RD STE 387C, SAINT LOUIS, MO 63131(314) 996-5900(314) 996-5910 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 29, 2021, Mar 17, 2018, Aug 15, 2017 (3 updates tracked since 2017).

About Ms. Raji P Varughese Anp NPPES

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

MS. RAJI P VARUGHESE ANP (NPI 1528444726) is an individual adult health provider in Saint Louis, Missouri, licensed in Missouri (2015028827) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1528444726
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. RAJI P VARUGHESECredential: ANP
Location Address3009 N BALLAS RD STE 387CSaint Louis, MO 63131-2324
Mailing Address670 Mason Ridge Center Dr Ste 300Saint Louis, MO 63141-8573 · (314) 996-5900 · Fax (314) 996-5910
Fax(314) 996-5910
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 11, 2015
Last NPPES UpdateMarch 29, 20213 updates tracked since enumeration
NPPES CertifiedMarch 29, 2021
NPI 1528444726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in MO · 2015028827
3009 N BALLAS RD STE 387C, Saint Louis, MO 63131

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

Ms. Raji P Varughese Anp 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 ID9638487267
PECOS Enrollment IDI20151001001606
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 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
355 services202 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
232 services135 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
128 services106 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
46 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63131 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
2 suppliers18 claims229 services$17.80 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
2 suppliers17 claims560 services$2.19 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
37 suppliers75 claims289 services$6.46 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
12 suppliers16 claims32 services$1.06 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
8 suppliers23 claims3,410 services$7.09 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
20 suppliers365 claims367 services$188.47 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
3009 N BALLAS RD STE 387C
SAINT LOUIS, MO 63131
Physician Assistant
3009 N BALLAS RD STE 387C
SAINT LOUIS, MO 63131
Family Medicine
3009 N BALLAS RD STE 387C
SAINT LOUIS, MO 63131
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3009 N BALLAS RD STE 387C
SAINT LOUIS, MO 63131
Internal Medicine
3009 N BALLAS RD STE 387C
SAINT LOUIS, MO 63131
Nurse Practitioner (Family)
3009 N BALLAS RD STE 387C
SAINT LOUIS, MO 63131
Internal Medicine
3009 N BALLAS RD STE 387C
SAINT LOUIS, MO 63131
Internal Medicine
3009 N BALLAS RD STE 387C
SAINT LOUIS, MO 63131

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 Raji Varughese's NPI number?

The NPI number for Raji Varughese is 1528444726. It was assigned to this individual provider in the NPPES registry on August 11, 2015.

Where is Raji Varughese located?

Raji Varughese practices at 3009 N Ballas Rd Ste 387C, Saint Louis, MO 63131. The listed phone number is (314) 996-5900.

What is Raji Varughese's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Raji Varughese enrolled in Medicare?

Yes. Raji Varughese 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.

When was this NPI record last updated?

The NPPES record for Raji Varughese was last updated on March 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.