MRS. SUMA VINU VARGHESE CRNP
NPI 1871372045
Nurse Practitioner - Gerontology in Plymouth Meeting, PA

Active since September 26, 2023PECOS EnrolledAccepts Medicare Assignment
2901 JOLLY RD, PLYMOUTH MEETING, PA 19462(610) 272-8221 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Suma Vinu Varghese Crnp NPPES

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

MRS. SUMA VINU VARGHESE CRNP (NPI 1871372045) is an individual gerontology provider in Plymouth Meeting, Pennsylvania, licensed in Pennsylvania (SP028310) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, is affiliated with Doylestown Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1871372045
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMRS. SUMA VINU VARGHESECredential: CRNP
Location Address2901 JOLLY RDPlymouth Meeting, PA 19462-2324
Mailing Address9968 Gardenia LnPhiladelphia, PA 19115-1100 · (215) 720-5728
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 26, 2023
NPPES CertifiedSeptember 26, 2023
NPI 1871372045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in PA · SP028310
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License SP028310 (PA)
2901 JOLLY RD, Plymouth Meeting, PA 19462

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

Mrs. Suma Vinu Varghese Crnp 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 ID4284089087
PECOS Enrollment IDI20231014000295
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 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.
390 services163 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
308 services107 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
298 services99 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
162 services73 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
133 services45 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
81 services59 patients

Hospital Affiliations CMS Care Compare

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

Doylestown Hospital

Acute Care Hospitals · Doylestown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390203
Location595 West State StDoylestown, PA 18901 · Bucks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19462 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 20

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

Internal Medicine
2901 JOLLY RD
PLYMOUTH MEETING, PA 19462
Internal Medicine
2901 JOLLY RD
PLYMOUTH MEETING, PA 19462
Internal Medicine
2901 JOLLY RD
PLYMOUTH MEETING, PA 19462
Nurse Practitioner (Family)
2901 JOLLY RD
PLYMOUTH MEETING, PA 19462
Nurse Practitioner (Family)
2901 JOLLY RD
PLYMOUTH MEETING, PA 19462
Nurse Practitioner (Family)
2901 JOLLY RD
PLYMOUTH MEETING, PA 19462
Nurse Practitioner (Primary Care)
2901 JOLLY RD
PLYMOUTH MEETING, PA 19462
Physician Assistant
2901 JOLLY RD
PLYMOUTH MEETING, PA 19462

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 Suma Varghese's NPI number?

The NPI number for Suma Varghese is 1871372045. It was assigned to this individual provider in the NPPES registry on September 26, 2023.

Where is Suma Varghese located?

Suma Varghese practices at 2901 Jolly Rd, Plymouth Meeting, PA 19462. The listed phone number is (610) 272-8221.

What is Suma Varghese's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Suma Varghese enrolled in Medicare?

Yes. Suma 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 Suma Varghese accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Suma 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 Suma Varghese affiliated with any hospitals?

According to CMS data, Suma Varghese is affiliated with Doylestown Hospital.

When was this NPI record last updated?

The NPPES record for Suma Varghese was last updated on September 26, 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.