SHANE VALAYAKANDATHIL VARGHESE
NPI 1568157147
Student in an Organized Health Care Education/Training Program in Woodland Hills, CA
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 and is a graduate of F H Netter, M.d. School Of Med At Quinnipiac Univ (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shane Valayakandathil Varghese is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shane Varghese reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Northampton, MA 01060
- Reassigned Medicare billing, Massachusetts enrollment
- 539 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.
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.
WOODLAND HILLS, CA 91367
WOODLAND HILLS, CA 91367
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 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.
Where is Shane Varghese located?
Shane Varghese practices at 5601 De Soto Ave, Woodland Hills, CA 91367. The listed phone number is (833) 574-2273.
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.
Is Shane Varghese enrolled in Medicare?
Yes. Shane Varghese is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Shane Varghese's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shane Varghese reassigns Medicare benefits to Mass General Brigham Medical Group Western Massachusetts Inc (Northampton, MA). 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 Shane 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 Shane Varghese was last updated on April 10, 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.
# Shane Valayakandathil Varghese · NPI 1568157147
Student in an Organized Health Care Education/Training Program provider in Woodland Hills, California. Individual provider, active in the CMS NPPES registry since April 10, 2023.
## Identity
- **NPI:** 1568157147 (Entity type: Individual)
- **Enumerated:** April 10, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 5601 DE SOTO AVE, Woodland Hills, CA 91367-6701
- **Phone:** (833) 574-2273
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mass General Brigham Medical Group Western Massachusetts Inc (NPI 1295787919, Northampton, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** F H Netter, M.d. School Of Med At Quinnipiac Univ, class of 2023
## Record status
- **NPPES last updated:** April 10, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1568157147) · Data from the CMS NPPES public registry.