THRESIAMMA VARUGHESE
NPI 1831501923
Nurse Practitioner - Adult Health in Stony Brook, NY

Active since May 23, 2014PECOS Enrolled
STONYBROOK UNIVERSITY HOSPITAL, HSCT16-080,NICHOLS ROAD, STONY BROOK, NY 11794(631) 444-3821(631) 444-1056 Get Directions Write a Review

NPPES record last updated: May 23, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Thresiamma Varughese NPPES

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

THRESIAMMA VARUGHESE (NPI 1831501923) is an individual adult health provider in Stony Brook, New York, licensed in New York (F306659-1) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831501923
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameTHRESIAMMA VARUGHESE
Location AddressSTONYBROOK UNIVERSITY HOSPITAL, HSCT16-080,NICHOLS ROADStony Brook, NY 11794-0001
Mailing AddressStonybrook University Hospital, Hsct16-080,nichols RoadStony Brook, NY 11794-0001 · (631) 444-3821 · Fax (631) 444-1056
Fax(631) 444-1056
Sole ProprietorNo
Enumeration DateMay 23, 2014
✔ NPI 1831501923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · F306659-1
STONYBROOK UNIVERSITY HOSPITAL, Stony Brook, NY 11794

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thresiamma Varughese is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Thresiamma Varughese reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Neuromusculoskeletal Medicine & OMM
75 N COUNTRY RD
Port Jefferson, NY 11777
  • Reassigned Medicare billing, New York enrollment
  • Also billed through NPI 1467249334 (New York)
  • 232 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11794 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
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

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

Nurse Practitioner (Family)
STONYBROOK UNIVERSITY HOSPITAL, DEPT. OF EMERGENCY MEDICINE - HSC LEVEL 4 - ROOM 080
STONY BROOK, NY 11794

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 Thresiamma Varughese's NPI number?

The NPI number for Thresiamma Varughese is 1831501923. It was assigned to this individual provider in the NPPES registry on May 23, 2014.

Where is Thresiamma Varughese located?

Thresiamma Varughese practices at Stonybrook University Hospital Hsct16-080,nichols Road, Stony Brook, NY 11794. The listed phone number is (631) 444-3821.

What is Thresiamma Varughese's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Thresiamma Varughese enrolled in Medicare?

Yes. Thresiamma Varughese is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Thresiamma Varughese's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thresiamma Varughese reassigns Medicare benefits to John T. Mather Memorial Hospital (Port Jefferson, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thresiamma Varughese's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Thresiamma Varughese was last updated on May 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.