Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922196013 Individual Practitioner Male Practitioner

Dr. Jacob Alex Mathew Varghese , MD

Pediatrics • Monroe, WA

Professional Overview & Biography Verified Profile Summary

Dr. Jacob Varghese, MD is a registered healthcare professional specializing in Pediatrics in Monroe, WA. Practice services are available at 19200 N KELSEY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

19200 N Kelsey St

Monroe, WA 982721431

Telephone 3607947994
Fax 3608054757
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Monroe, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.0 Yrs
State Avg: 18.8 Yrs
Regional Practice Density
3 Specialists

Practicing in Monroe, WA (1802 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-04-23
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License WA MD60523725

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License PA MD419174

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License UT 57074561205

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
942854057014 (UT)
Medicaid State Provider ID
942854058940 (UT)

Practice Associates & Co-Workers

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

32 Associated Practitioners
A Pell , PA-C

Physician Assistant

NPI 1013968254

Physician Assistant (Certified)

Dr. Rhonda Bass , MD

Family Medicine

NPI 1023014925

Doctor of Medicine (M.D.)

NPI 1023704244

Doctor of Medicine (M.D.)

NPI 1073614376

Doctor of Medicine (M.D.)

Shelby Lidstrom

Physician Assistant

NPI 1154722155
Poonam Patel

Pharmacist

NPI 1174053540

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 20, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 20, 2015

Registered at 19200 N KELSEY ST, MONROE, WA 982721431 (Tel: 3607947994)

📍
Updated Business Mailing Address August 20, 2015

Registered at PO BOX 3360, PORTLAND, OR 972083360 (Tel: 8663662983)

👤
Provider Name / Credentials Updated August 20, 2015

Recorded as JACOB VARGHESE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2015

Pediatrics (License #MD60523725 in WA)

🟢
Initial NPI Registration & Enumeration October 11, 2006

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: 1922196013
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2006
Last Update: April 23, 2021
Sole Proprietor: No

Mailing Address

Po Box 3360

Portland, OR 972083360

Phone: 8663662983

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.