RON THOMAS VARGHESE MBBS
NPI 1679006688
Internal Medicine - Endocrinology, Diabetes & Metabolism in Miami, FL

Active since April 06, 2017PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
1450 NW 10TH AVE, MIAMI, FL 33136(305) 243-3636 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 30, 2023, Aug 22, 2023 (2 updates tracked since 2023).

About Ron Thomas Varghese Mbbs NPPES

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

RON THOMAS VARGHESE MBBS (NPI 1679006688) is an individual endocrinology, diabetes & metabolism provider in Miami, Florida, licensed in Florida (ME162636) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1679006688
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameRON THOMAS VARGHESECredential: MBBS
Location Address1450 NW 10TH AVEMiami, FL 33136-1011
Mailing Address1450 Nw 10th AveMiami, FL 33136-1011 · (305) 243-3636 · Fax (305) 243-0143
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateApril 6, 2017
Last NPPES UpdateAugust 30, 20232 updates tracked since enumeration
NPPES CertifiedAugust 22, 2023
NPI 1679006688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in FL · ME162636
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
1450 NW 10TH AVE, Miami, FL 33136

Accepted 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

Ron Thomas Varghese Mbbs 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 ID4587933460
PECOS Enrollment IDI20230915001347
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.
54 services29 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
51 services28 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
25 services19 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.
18 services15 patients
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.
17 services11 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.
15 services12 patients

Hospital Affiliations CMS Care Compare

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

Jackson Health System

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100022
Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33136 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

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.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
1450 NW 10TH AVE
MIAMI, FL 33136
Nurse Practitioner (Family)
1450 NW 10TH AVE
MIAMI, FL 33136
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1450 NW 10TH AVE
MIAMI, FL 33136
Nurse Practitioner (Family)
1450 NW 10TH AVE
MIAMI, FL 33136
Dietitian, Registered
1450 NW 10TH AVE
MIAMI, FL 33136
Internal Medicine (Nephrology)
1450 NW 10TH AVE
MIAMI, FL 33136
Dietitian, Registered
1450 NW 10TH AVE
MIAMI, FL 33136
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1450 NW 10TH AVE
MIAMI, FL 33136

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 Ron Varghese's NPI number?

The NPI number for Ron Varghese is 1679006688. It was assigned to this individual provider in the NPPES registry on April 6, 2017.

Where is Ron Varghese located?

Ron Varghese practices at 1450 NW 10th Ave, Miami, FL 33136. The listed phone number is (305) 243-3636.

What is Ron Varghese's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Ron Varghese enrolled in Medicare?

Yes. Ron 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.

What insurance does Ron Varghese accept?

Health plans from AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Oscar Health Maintenance Organization of Florida and 1 other insurer list Ron Varghese 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 Ron Varghese affiliated with any hospitals?

According to CMS data, Ron Varghese is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for Ron Varghese was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.