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REEJA VARGHESE FNP
NPI 1538538038
Nurse Practitioner - Family in Dallas, TX

Active since September 15, 2015PECOS EnrolledAccepts Medicare Assignment
86.29/100
CMS Quality Rating
13737 NOEL RD STE 1600, DALLAS, TX 75240(469) 518-4823 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 8, 2023, Jun 17, 2019 (2 updates tracked since 2019).

About Reeja Varghese Fnp NPPES

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

REEJA VARGHESE FNP (NPI 1538538038) is an individual family provider in Dallas, Texas, licensed in Texas (AP128597) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1538538038
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameREEJA VARGHESECredential: FNP
Location Address13737 NOEL RD STE 1600Dallas, TX 75240-1374
Mailing Address2505 Lincolnshire LnLewisville, TX 75056-5902 · (214) 493-2877
Phone(469) 518-4823
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 15, 2015
Last NPPES UpdateAugust 8, 20232 updates tracked since enumeration
NPPES CertifiedAugust 8, 2023
✔ NPI 1538538038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP128597
13737 NOEL RD STE 1600, Dallas, TX 75240
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, UnitedHealthcare.Insurance ›

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

Reeja Varghese Fnp 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 ID547567315
PECOS Enrollment IDI20160322000709
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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
3,117 services463 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
212 services158 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
188 services94 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
19 services18 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75240 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

86.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.36
Improvement Activities40
Cost92.14

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.

CARL A RECINE MD
Radiology (Diagnostic Radiology)
13737 NOEL RD STE 1600, ATTN RAYS
DALLAS, TX 75240
Dallas County (303) 933-8270
DR. IFAT SATTAR D.O.
Emergency Medicine
13737 NOEL RD STE 1600
DALLAS, TX 75240
Dallas County (214) 712-2429
DR. RICHARD CARREGAL D.O.
Radiology (Diagnostic Radiology)
13737 NOEL RD STE 1600
DALLAS, TX 75240
Dallas County (303) 933-8270
MARITZA CANTARERO FNP
Nurse Practitioner
13737 NOEL RD STE 1600
DALLAS, TX 75240
Dallas County (717) 770-7000
EHRA MEDICAL SERVICES OF TEXAS PA
Emergency Medicine
13737 NOEL RD STE 1600
DALLAS, TX 75240
Dallas County (469) 401-2386
VIVEK PUNJABI MD
Internal Medicine
13737 NOEL RD STE 1600
DALLAS, TX 75240
Dallas County (954) 939-5000
JAMES ADAM MOORE MD
Emergency Medicine
13737 NOEL RD STE 1600
DALLAS, TX 75240
Dallas County (214) 712-2742
NORTHWEST TUCSON EMERGENCY PHYSICIANS PC
Emergency Medicine
13737 NOEL RD STE 1600
DALLAS, TX 75240
Dallas County (469) 401-2386

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 Reeja Varghese's NPI number?

The NPI number for Reeja Varghese is 1538538038. It was assigned to this individual provider in the NPPES registry on September 15, 2015.

Where is Reeja Varghese located?

Reeja Varghese practices at 13737 Noel Rd Ste 1600, Dallas, TX 75240. The listed phone number is (469) 518-4823.

What is Reeja Varghese's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Reeja Varghese enrolled in Medicare?

Yes. Reeja 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.

What insurance does Reeja Varghese accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and UnitedHealthcare list Reeja 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 Reeja Varghese was last updated on August 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.