DR. NISHA VARGHESE M.D.
NPI 1861629305
Family Medicine in Richmond, TX

Q: What is Nisha Varghese's NPI number?

The NPI number for Nisha Varghese is 1861629305. It was assigned to this individual provider in the NPPES registry on June 11, 2009.

Q: What is Nisha Varghese's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Nisha Varghese was last updated on November 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 11, 2009PECOS EnrolledAccepts Medicare Assignment

400 AUSTIN ST, RICHMOND, TX 77469(281) 342-4530(281) 341-2920 Get Directions Write a Review

NPPES record last updated: November 18, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Nisha Varghese M.d. NPPES

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

DR. NISHA VARGHESE M.D. (NPI 1861629305) is an individual family medicine provider in Richmond, Texas, licensed in Texas (P0314) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (2008).

NPPES Registry Identity

NPI1861629305

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. NISHA VARGHESECredential: M.D.

Location Address400 AUSTIN STRichmond, TX 77469-4406

Mailing Address400 Austin StRichmond, TX 77469-4406 · (281) 342-4530 · Fax (281) 341-2920

Phone(281) 342-4530

Fax(281) 341-2920

Sole ProprietorYes

Medical School CMSBaylor College Of MedicineGraduated 2008

Enumeration DateJune 11, 2009

Last NPPES UpdateNovember 18, 2021

NPPES CertifiedNovember 18, 2021

✔ NPI 1861629305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · P0314

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

400 AUSTIN ST, Richmond, TX 77469

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Dr. Nisha 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 ID1153560560

PECOS Enrollment IDI20130615000084

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

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.

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.

34 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77469 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers17 claims26 services$6.06 avg. paid by Medicare

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$169.65 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.

MELANIE D DEGROOT M.D.

Pediatrics