1. Home
  2. Directory
  3. Ohio
  4. Cincinnati
  5. Internal Medicine
  6. NPI Profile

HOUMAN VARGHAI M.D.
NPI 1700048808
Internal Medicine in Cincinnati, OH

Active since June 30, 2008PECOS EnrolledAccepts Medicare Assignment
3130 HIGHLAND AVE, ML 0782, CINCINNATI, OH 45219(513) 584-4503(513) 584-0462 Get Directions Write a Review

NPPES record last updated: August 7, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Houman Varghai M.d. NPPES

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

HOUMAN VARGHAI M.D. (NPI 1700048808) is an individual internal medicine provider in Cincinnati, Ohio, licensed in Ohio (35.097896) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with University Of Cincinnati Medical Center, Llc, and is a graduate of University Of Cincinnati College Of Medicine (2008).

NPPES Registry Identity

NPI1700048808
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameHOUMAN VARGHAICredential: M.D.
Location Address3130 HIGHLAND AVE, ML 0782Cincinnati, OH 45219-2399
Mailing AddressPo Box 636256, Central CredentialingCincinnati, OH 45263-6256 · (513) 585-5504 · Fax (513) 585-5511
Phone(513) 584-4503
Fax(513) 584-0462
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2008
Enumeration DateJune 30, 2008
Last NPPES UpdateAugust 7, 2017
✔ NPI 1700048808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35.097896
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3130 HIGHLAND AVE, Cincinnati, OH 45219
Open in Google Maps ↗

Other Identifiers 4

Medicare PINH020561OH
Medicaid7100176590KY
Medicaid201046600IN
Medicaid0053026OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual 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

Houman Varghai 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 ID2769653054
PECOS Enrollment IDI20110916000386
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 6

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.
61 services37 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
61 services25 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.
33 services30 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.
32 services18 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.
20 services20 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

University Of Cincinnati Medical Center, LLC

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360003
Location3188 Bellevue AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier22 claims22 services$202.00 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.

DR. LEI QU PHARMD
Pharmacist
3130 HIGHLAND AVE
CINCINNATI, OH 45219
Hamilton County (135) 584-8828
MICHAEL FRITZ
Dermatology
3130 HIGHLAND AVE
CINCINNATI, OH 45219
Hamilton County (513) 475-7630
MARGO WATERS MD
Student in an Organized Health Care Education/Training Program
3130 HIGHLAND AVE, GROUND FLOOR
CINCINNATI, OH 45219
Hamilton County (513) 584-4644
THOMAS LAWLER
Internal Medicine
3130 HIGHLAND AVE
CINCINNATI, OH 45219
Hamilton County (513) 584-4505
JULIANE VIERECKE MD
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
3130 HIGHLAND AVE
CINCINNATI, OH 45219
Hamilton County (513) 584-7217
MAX CHRISTOPHER REIF M.D.
Internal Medicine (Nephrology)
3130 HIGHLAND AVE
CINCINNATI, OH 45219
Hamilton County (513) 584-4061
DR. WILLIAM MICHAEL GAYNIER D.O
Ophthalmology
3130 HIGHLAND AVE
CINCINNATI, OH 45219
Hamilton County (513) 584-5461
LATOYA LABRESSKA BRATHWAITE MD
Internal Medicine (Nephrology)
3130 HIGHLAND AVE, 2ND FLOOR NEPHROLOGY HOXWORTH CLINIC
CINCINNATI, OH 45219
Hamilton County (513) 584-4061

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 Houman Varghai's NPI number?

The NPI number for Houman Varghai is 1700048808. It was assigned to this individual provider in the NPPES registry on June 30, 2008.

Where is Houman Varghai located?

Houman Varghai practices at 3130 Highland Ave Ml 0782, Cincinnati, OH 45219. The listed phone number is (513) 584-4503.

What is Houman Varghai's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Houman Varghai enrolled in Medicare?

Yes. Houman Varghai 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 Houman Varghai accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance list Houman Varghai 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 Houman Varghai affiliated with any hospitals?

According to CMS data, Houman Varghai is affiliated with University Of Cincinnati Medical Center, LLC.

When was this NPI record last updated?

The NPPES record for Houman Varghai was last updated on August 7, 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.