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DR. AJAY VARUGHESE MD
NPI 1619405511
Family Medicine in Oklahoma City, OK

Active since May 23, 2017PECOS EnrolledAccepts Medicare Assignment
900 NE 10TH ST, OKLAHOMA CITY, OK 73104(405) 271-4311 Get Directions Write a Review

NPPES record last updated: May 23, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Ajay Varughese Md NPPES

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

DR. AJAY VARUGHESE MD (NPI 1619405511) is an individual family medicine provider in Oklahoma City, Oklahoma, licensed in Oklahoma (32941) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Anthony Hospital - Oklahoma City, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1619405511
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. AJAY VARUGHESECredential: MD
Location Address900 NE 10TH STOklahoma City, OK 73104-5420
Mailing Address900 Ne 10th StOklahoma City, OK 73104-5420 · (405) 271-2230
Phone(405) 271-4311
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 23, 2017
✔ NPI 1619405511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OK · 32941
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
900 NE 10TH ST, Oklahoma City, OK 73104
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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

Dr. Ajay Varughese Md 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 ID5799058442
PECOS Enrollment IDI20200817000787
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 10

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.
636 services230 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.
145 services145 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
89 services85 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
78 services74 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
66 services12 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
40 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Ssm Health St Anthony Hospital - Oklahoma City

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370037
Location1000 North Lee AvenueOklahoma City, OK 73101 · Oklahoma County
Emergency services Birthing friendly

Ssm Health St Anthony Hospital - Shawnee

Acute Care Hospitals · Shawnee, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370149
Location1102 W MacarthurShawnee, OK 74804 · Pottawatomie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73104 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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 4

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

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers13 claims50 services$3.22 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers44 claims44 services$19.80 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers15 claims15 services$45.18 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
6 suppliers73 claims73 services$105.49 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 20

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

ANGIE RACHEL THOMAS PA-C
Physician Assistant
900 NE 10TH ST
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 514-5640
DEWEY C SCHEID MD
Family Medicine
900 NE 10TH ST
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4311
ALEJANDRO ANZALDUA MD
Family Medicine
900 NE 10TH ST, FMC 2102
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-2230
DR. GURDEEP SINGH GREWAL MD
Family Medicine
900 NE 10TH ST
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4311
ERIK WILLIS
Family Medicine
900 NE 10TH ST
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-2230
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA-OU PHYSICIANS
Clinic/Center
900 NE 10TH ST
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4311
NATASHA G THOMAS
Pharmacist
900 NE 10TH ST
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4311
ASHLEY DIANE VO MD
Family Medicine
900 NE 10TH ST
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4311

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 Ajay Varughese's NPI number?

The NPI number for Ajay Varughese is 1619405511. It was assigned to this individual provider in the NPPES registry on May 23, 2017.

Where is Ajay Varughese located?

Ajay Varughese practices at 900 NE 10th St, Oklahoma City, OK 73104. The listed phone number is (405) 271-4311.

What is Ajay Varughese's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ajay Varughese enrolled in Medicare?

Yes. Ajay 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.

What insurance does Ajay Varughese accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Ajay Varughese 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.

Is Ajay Varughese affiliated with any hospitals?

According to CMS data, Ajay Varughese is affiliated with Ssm Health St Anthony Hospital - Oklahoma City and Ssm Health St Anthony Hospital - Shawnee.

When was this NPI record last updated?

The NPPES record for Ajay Varughese was last updated on May 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.