MR. BIJU VARGHESE APRN
NPI 1609443951
Nurse Practitioner in Sanford, FL

Q: What is Biju Varghese's NPI number?

The NPI number for Biju Varghese is 1609443951. It was assigned to this individual provider in the NPPES registry on June 7, 2021.

Q: What is Biju Varghese's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Biju Varghese was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since June 07, 2021PECOS EnrolledAccepts Medicare Assignment

79.4/100

CMS Quality Rating

211 ESLINGER WAY, SANFORD, FL 32773(407) 665-1308 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 13, 2026, Jun 7, 2021 (2 updates tracked since 2021).

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About Mr. Biju Varghese Aprn NPPES

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

MR. BIJU VARGHESE APRN (NPI 1609443951) is an individual nurse practitioner in Sanford, Florida, licensed in Florida (APRN11013523) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Waterman, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1609443951

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameMR. BIJU VARGHESECredential: APRN

Location Address211 ESLINGER WAYSanford, FL 32773-6188

Mailing Address13160 Woodford StOrlando, FL 32832-6958 · (347) 873-7128

Phone(407) 665-1308

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateJune 7, 2021

Last NPPES UpdateJanuary 13, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 13, 2026

✔ NPI 1609443951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · APRN11013523

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 11013523 (FL)

211 ESLINGER WAY, Sanford, FL 32773

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Biju Varghese Aprn 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 ID7517362296

PECOS Enrollment IDI20210818001363

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 Reassignments

Medicare enrollment records show Biju Varghese reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Central Florida Inpatient Medicine LLC

3.9 mi

Internal Medicine

525 TECHNOLOGY PARK STE 109
Lake Mary, FL 32746

Reassigned Medicare billing, Florida enrollment
329 clinicians in this Medicare group

NPI 1649228859 (407) 647-2346

Dr Luisa Vega Dnp LLC

3.9 mi

Nurse Practitioner

525 TECHNOLOGY PARK STE 109
Lake Mary, FL 32746

Reassigned Medicare billing, Florida enrollment
119 clinicians in this Medicare group

NPI 1497123319 (407) 647-2346

Inpatient Care Specialists LLC

4.0 mi

Hospitalist

525 TECHNOLOGY PARK STE 109
Lake Mary, FL 32746

Reassigned Medicare billing, Florida enrollment
214 clinicians in this Medicare group

NPI 1679817134 (407) 647-2346

Aspire Health Partners, Inc.

15 mi

Mental Health (Including Community Mental Health Center)

1800 MERCY DR
Orlando, FL 32808

Reassigned Medicare billing, Florida enrollment
105 clinicians in this Medicare group

NPI 1821033903 (407) 875-3700

Orlando Inpatient Medicine, PA

19 mi

Internal Medicine

1507 S HIAWASSEE RD STE 206
Orlando, FL 32835

Reassigned Medicare billing, Florida enrollment
119 clinicians in this Medicare group

NPI 1902287899 (407) 445-9545

Hospitalist Medicine Physicians Of Mississippi-Tcg, Inc.

596 mi

Internal Medicine

120 BRENTWOOD COMMONS WAY STE 510
Brentwood, TN 37027

Reassigned Medicare billing, Florida enrollment
50 clinicians in this Medicare group

NPI 1386122877 (253) 682-6040

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 15

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.

1,584 services447 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

1,407 services323 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

673 services342 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

416 services61 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

277 services173 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

113 services102 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

97 services90 patients

Psychiatric services complicated by communication factor 90785

Psychiatric services complicated by communication factors involve mental health care for individuals who have challenges with communication. This can include language barriers, speech disorders, or cognitive impairments. The process involves tailored strategies to ensure effective communication and appropriate mental health care.

92 services86 patients

Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304

An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.

70 services66 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

37 services22 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

33 services32 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

26 services26 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

18 services17 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

18 services18 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Waterman

Acute Care Hospitals · Tavares, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100057

Location1000 Waterman WayTavares, FL 32778 · Lake County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32773 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

79.4/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

76.57

Improvement Activities

Cost

40.97

Other Providers at the Same Location NPPES 2

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

LAURA ELAINE SOUTHGATE MCAP

Counselor (Addiction (Substance Use Disorder))

211 ESLINGER WAY
SANFORD, FL 32773

Seminole County (407) 775-6106

SEMINOLE COUNTY SHERIFF'S OFFICE

Clinic/Center (Public Health, State or Local)

211 ESLINGER WAY
SANFORD, FL 32773

Seminole County (407) 665-1301

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 Biju Varghese's NPI number?

The NPI number for Biju Varghese is 1609443951. It was assigned to this individual provider in the NPPES registry on June 7, 2021.

Where is Biju Varghese located?

Biju Varghese practices at 211 Eslinger Way, Sanford, FL 32773. The listed phone number is (407) 665-1308.

What is Biju Varghese's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Biju Varghese enrolled in Medicare?

Yes. Biju 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.

Which organizations bill Medicare for Biju Varghese's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Biju Varghese reassigns Medicare benefits to 6 organizations: Central Florida Inpatient Medicine LLC (Lake Mary, FL), Dr Luisa Vega Dnp LLC (Lake Mary, FL), Inpatient Care Specialists LLC (Lake Mary, FL), Aspire Health Partners, Inc. (Orlando, FL), Orlando Inpatient Medicine, PA (Orlando, FL) and 1 more organization, listed in the Medicare section above. Each 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 Biju Varghese's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Biju Varghese affiliated with any hospitals?

According to CMS data, Biju Varghese is affiliated with Adventhealth Waterman.

When was this NPI record last updated?

The NPPES record for Biju Varghese was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.