SANJU ANDREW VARGHESE MD
NPI 1780629956
Internal Medicine - Nephrology in Springfield, OH

Active since June 19, 2006PECOS EnrolledAccepts Medicare Assignment
2205 N LIMESTONE ST, SPRINGFIELD, OH 45503(937) 322-7521(937) 322-4047 Get Directions Write a Review

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 7, 2021, Aug 8, 2019 (2 updates tracked since 2019).

About Sanju Andrew Varghese Md NPPES

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

SANJU ANDREW VARGHESE MD (NPI 1780629956) is an individual nephrology provider in Springfield, Ohio, licensed in Ohio (35087993) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Springfield Regional Medical Center, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1780629956
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameSANJU ANDREW VARGHESECredential: MD
Location Address2205 N LIMESTONE STSpringfield, OH 45503-2675
Mailing Address2205 N Limestone StSpringfield, OH 45503-2675 · (937) 322-7521 · Fax (937) 322-4047
Fax(937) 322-4047
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJune 19, 2006
Last NPPES UpdateApril 7, 20212 updates tracked since enumeration
NPPES CertifiedApril 7, 2021
NPI 1780629956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in OH · 35087993
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

2205 N LIMESTONE ST, Springfield, OH 45503

Other Identifiers 1

Medicaid2661132OH

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

Sanju Andrew Varghese 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 ID6709898158
PECOS Enrollment IDI20060629000108
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 11

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

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.
425 services110 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.
391 services246 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.
283 services81 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.
215 services182 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.
156 services129 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
97 services21 patients

Hospital Affiliations CMS Care Compare 5

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

Springfield Regional Medical Center

Acute Care Hospitals · Springfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360086
Location100 Medical Center DriveSpringfield, OH 45504 · Clark County
Emergency services Birthing friendly

Memorial Hospital

Acute Care Hospitals · Marysville, OH
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number360092
Location500 London AvenueMarysville, OH 43040 · Union County
Emergency services Birthing friendly

Madison Health

Acute Care Hospitals · London, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number360189
Location210 North Main StreetLondon, OH 43140 · Madison County
Emergency services

Mercy Health - West Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360234
Location3300 Mercy Health BlvdCincinnati, OH 45211 · Hamilton County
Emergency services Birthing friendly

Mercy Health - Urbana Hospital

Critical Access Hospitals · Urbana, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number361312
Location904 Scioto StreetUrbana, OH 43078 · Champaign County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45503 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
2 suppliers12 claims12 services$185.18 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 6

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

Dentist (General Practice)
2205 N LIMESTONE ST
SPRINGFIELD, OH 45503
Dentist (General Practice)
2205 N LIMESTONE ST
SPRINGFIELD, OH 45503
Psychologist (Clinical)
2205 N LIMESTONE ST
SPRINGFIELD, OH 45503
Internal Medicine (Nephrology)
2205 N LIMESTONE ST
SPRINGFIELD, OH 45503
Nurse Practitioner (Gerontology)
2205 N LIMESTONE ST
SPRINGFIELD, OH 45503
Internal Medicine (Nephrology)
2205 N LIMESTONE ST
SPRINGFIELD, OH 45503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780629956, enumerated as an "individual" on June 19, 2006.

The provider is located at 2205 N LIMESTONE ST SPRINGFIELD, OH 45503 and the phone number is (937) 322-7521.

Internal Medicine with taxonomy code 207RN0300X and a focus in Nephrology.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.

Sanju Varghese is affiliated with: SPRINGFIELD REGIONAL MEDICAL CENTER, MEMORIAL HOSPITAL, MADISON HEALTH, MERCY HEALTH - WEST HOSPITAL and MERCY HEALTH - URBANA HOSPITAL.