SHANE VALAYAKANDATHIL VARGHESE
NPI 1568157147
Student in an Organized Health Care Education/Training Program in Woodland Hills, CA

Q: What is Shane Varghese's NPI number?

The NPI number for Shane Varghese is 1568157147. It was assigned to this individual provider in the NPPES registry on April 10, 2023.

Q: What is Shane Varghese's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Shane Varghese was last updated on April 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 10, 2023PECOS Enrolled

5601 DE SOTO AVE, WOODLAND HILLS, CA 91367(833) 574-2273 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Shane Valayakandathil Varghese NPPES

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

SHANE VALAYAKANDATHIL VARGHESE (NPI 1568157147) is an individual student in an organized health care education/training program in Woodland Hills, California and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568157147

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameSHANE VALAYAKANDATHIL VARGHESE

Location Address5601 DE SOTO AVEWoodland Hills, CA 91367-6701

Mailing Address5601 De Soto AveWoodland Hills, CA 91367-6701 · (833) 547-2273

Phone(833) 574-2273

Sole ProprietorNo

Enumeration DateApril 10, 2023

NPPES CertifiedApril 9, 2023

✔ NPI 1568157147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

5601 DE SOTO AVE, Woodland Hills, CA 91367

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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 (PECOS)

Shane Valayakandathil Varghese 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.