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BIVIN VARGHESE M.D.
NPI 1659783561
Internal Medicine - Rheumatology in New Rochelle, NY

Active since May 27, 2014PECOS EnrolledAccepts Medicare Assignment
16 GUION PL, NEW ROCHELLE, NY 10801(914) 365-3681 Get Directions Write a Review

NPPES record last updated: March 15, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Mar 15, 2026, Jun 2, 2020, Jul 12, 2019 and 2 more (5 updates tracked since 2016).

About Bivin Varghese M.d. NPPES

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

BIVIN VARGHESE M.D. (NPI 1659783561) is an individual rheumatology provider in New Rochelle, New York, licensed in New York (289228) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1659783561
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameBIVIN VARGHESECredential: M.D.
Location Address16 GUION PLNew Rochelle, NY 10801-5502
Mailing Address16 Guion PlNew Rochelle, NY 10801-5502
Phone(914) 365-3681
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 27, 2014
Last NPPES UpdateMarch 15, 20265 updates tracked since enumeration
NPPES CertifiedMarch 15, 2026
✔ NPI 1659783561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in NY · 289228
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
16 GUION PL, New Rochelle, NY 10801
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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 and accepts Medicare assignment

Bivin Varghese M.d. 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 ID3173862968
PECOS Enrollment IDI20190821004688
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 7

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.
212 services87 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
102 services76 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
38 services38 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
37 services30 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
16 services11 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
15 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

Montefiore New Rochelle Hospital

Acute Care Hospitals · New Rochelle, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330184
Location16 Guion PlaceNew Rochelle, NY 10802 · Westchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10801 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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.

DR. RAMATALLAH ATINUKE BALOGUN MD
Student in an Organized Health Care Education/Training Program
16 GUION PL
NEW ROCHELLE, NY 10801
Westchester County (914) 365-3680
HYUN CHUNG MD
Emergency Medicine
16 GUION PL, SOUND SHORE MEDICAL CENTER OF WESTCHESTER
NEW ROCHELLE, NY 10801
Westchester County (914) 632-5000
ELANA MIRIAM FRIEDMAN MD
Student in an Organized Health Care Education/Training Program
16 GUION PL
NEW ROCHELLE, NY 10801
Westchester County (914) 365-3680
MICHELLE RENEE EWART MD
Pathology (Anatomic Pathology)
16 GUION PL
NEW ROCHELLE, NY 10801
Westchester County (914) 632-5000
DR. DANIEL HAROLD POMERANTZ MD
Internal Medicine
16 GUION PL
NEW ROCHELLE, NY 10801
Westchester County (914) 365-3615
DR. BURTON L HERZ M.D.
Surgery
16 GUION PL
NEW ROCHELLE, NY 10801
Westchester County (914) 637-1396
DR. MA PAMELA GALLARDO DEMIGILLO MD
Student in an Organized Health Care Education/Training Program
16 GUION PL
NEW ROCHELLE, NY 10801
Westchester County (914) 365-5000
ABHISHEK BASNET MD
Student in an Organized Health Care Education/Training Program
16 GUION PL
NEW ROCHELLE, NY 10801
Westchester County (914) 365-3680

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 Bivin Varghese's NPI number?

The NPI number for Bivin Varghese is 1659783561. It was assigned to this individual provider in the NPPES registry on May 27, 2014.

Where is Bivin Varghese located?

Bivin Varghese practices at 16 Guion Pl, New Rochelle, NY 10801. The listed phone number is (914) 365-3681.

What is Bivin Varghese's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Bivin Varghese enrolled in Medicare?

Yes. Bivin 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.

Is Bivin Varghese affiliated with any hospitals?

According to CMS data, Bivin Varghese is affiliated with Montefiore Medical Center and Montefiore New Rochelle Hospital.

When was this NPI record last updated?

The NPPES record for Bivin Varghese was last updated on March 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.