Active NPI 1700048808 Individual Practitioner Male Practitioner

Dr. Houman Varghai , MD

Internal Medicine • Cincinnati, OH

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Houman Varghai, MD is a certified Internal Medicine practicing in Cincinnati, OH. With approximately 18 years of clinical experience since graduating from University Of Cincinnati College Of Medicine in 2008, Dr. Varghai delivers high-quality medical care to the local community at 3130 HIGHLAND AVE.

Dr. Varghai is affiliated with University Of Cincinnati Physicians Company Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3130 Highland Ave
Ml 0782

Cincinnati, OH 452192399

Telephone 5135844503

Fax 5135840462

Associated Practice Facility / Clinic

🏢 University Of Cincinnati Physicians Company, Llc Facility NPI 1801840434

Medicare Profile & Education

Medical School

University Of Cincinnati College Of Medicine

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Cincinnati, OH

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs -4.3 yrs vs City Avg

City Avg: 22.3 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

593 Specialists

Practicing in Cincinnati, OH (5516 Statewide)

Telehealth Adoption Rate

13.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

68.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Varghai (18 Years) 18 Yrs

Cincinnati Specialty Average (22.3 Years) 22.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	61	25	$285.00	$112.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	37	$230.46	$75.19
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	51	30	$47.00	$15.69
99213 Established patient office or other outpatient visit, typically 15 minutes	33	30	$155.18	$60.23
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	18	$189.00	$74.49
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	20	20	$371.00	$45.86
99238 Hospital discharge day management, 30 minutes or less	13	13	$192.00	$76.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	62	19	$285.00	$114.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	29	$303.00	$76.53
99213 Established patient office or other outpatient visit, typically 15 minutes	32	30	$161.00	$58.83
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	14	$189.00	$76.47
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	19	19	$371.00	$78.29
99238 Hospital discharge day management, 30 minutes or less	15	15	$192.00	$77.68
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$472.00	$167.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	42	$234.26	$75.32
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	50	24	$252.58	$99.56
99213 Established patient office or other outpatient visit, typically 15 minutes	39	35	$139.77	$61.39
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	11	$172.07	$68.97
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	25	25	$331.40	$56.54
99238 Hospital discharge day management, 30 minutes or less	20	20	$174.50	$69.34
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$489.40	$192.89
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$245.00	$98.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	75	68	$125.00	$66.70
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	69	18	$257.00	$101.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	42	$193.00	$98.46
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	28	28	$281.00	$128.66
99443 Telephone medical discussion with physician, 21-30 minutes	25	22	$265.00	$98.84
99238 Hospital discharge day management, 30 minutes or less	14	13	$179.00	$67.71
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$501.00	$196.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	158	52	$257.00	$103.37
99213 Established patient office or other outpatient visit, typically 15 minutes	48	46	$125.00	$51.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	36	$193.00	$78.48
99238 Hospital discharge day management, 30 minutes or less	38	36	$179.00	$72.11
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	32	$501.00	$200.79
99443 Telephone medical discussion with physician, 21-30 minutes	31	26	$265.00	$78.57
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	18	$178.00	$71.78
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	21	21	$281.00	$111.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	115	42	$257.00	$101.61
99213 Established patient office or other outpatient visit, typically 15 minutes	92	84	$125.00	$49.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	87	53	$193.00	$76.50
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	40	40	$281.00	$110.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	35	21	$178.00	$71.06
99238 Hospital discharge day management, 30 minutes or less	26	26	$179.00	$71.03
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$501.00	$197.69
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	11	$96.00	$38.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	149	36	$257.00	$102.16
99213 Established patient office or other outpatient visit, typically 15 minutes	118	97	$125.00	$50.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	106	63	$193.00	$77.00
99238 Hospital discharge day management, 30 minutes or less	36	35	$179.00	$71.28
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	27	$501.00	$199.01
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	28	28	$281.00	$111.77
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	16	$178.00	$71.31
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$417.00	$165.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	132	68	$193.00	$76.17
99213 Established patient office or other outpatient visit, typically 15 minutes	125	107	$125.00	$49.81
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	55	24	$257.00	$101.83
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	31	31	$281.00	$110.51
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	30	29	$501.00	$197.77
99238 Hospital discharge day management, 30 minutes or less	25	24	$179.00	$70.40
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	16	15	$31.00	$12.05
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$417.00	$163.71

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35.097896

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0053026 (OH)

Medicaid State Provider ID

201046600 (IN)

Medicaid State Provider ID

7100176590 (KY)

Hospital & Practice Group Affiliations

University Of Cincinnati Physicians Company Llc

3130 Highland Ave, Cincinnati, OH 452192399

Phone: 5135844503

University Of Cincinnati Physicians Company Llc

3188 Bellevue Ave, Cincinnati, OH 452192369

Phone: 5135841000

University Of Cincinnati Physicians Company Llc

4075 Old Western Row Rd, Mason, OH 450403104

Phone: 5135360050

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

24 Associated Practitioners

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Doctor of Medicine (M.D.)

Dr. Eric Warm , MD

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NPI 1194773366

Doctor of Medicine (M.D.)

Dr. Estrelita Dixon , MD

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NPI 1255396123

Doctor of Medicine (M.D.)

Dr. John Hughes , MD

General Practice

NPI 1285802314

Doctor of Medicine (M.D.)

Dr. Leann Coberly , MD

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NPI 1295790210

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active August 07, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address August 07, 2017

Registered at PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 452636256 (Tel: 5135855504)

📍

Updated Practice Location August 07, 2017

Registered at 3130 HIGHLAND AVE, ML 0782, CINCINNATI, OH 452192399 (Tel: 5135844503)

👤

Provider Name / Credentials Updated August 07, 2017

Recorded as HOUMAN VARGHAI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2017

Internal Medicine (License #35.097896 in OH)

✅

NPI Profile Active October 30, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location October 30, 2012

Registered at 3130 HIGHLAND AVE, ML 0782, CINCINNATI, OH 452192399 (Tel: 5135844503)

📍

Updated Business Mailing Address October 30, 2012

Registered at 2830 VICTORY PKWY, LL30, CINCINNATI, OH 452061785 (Tel: 5132453306)

👤

Provider Name / Credentials Updated October 30, 2012

Recorded as HOUMAN VARGHAI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2012

Internal Medicine (License #35.097896 in OH)

🟢

Initial NPI Registration & Enumeration June 30, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700048808

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 30, 2008

Last Update: August 07, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 636256, Central Credentialing

Cincinnati, OH 452636256

Phone: 5135855504

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.