MR. VARGHESE EDATTUKAREN (MD) – Family Medicine Physician, NPI 1912930967

MR. VARGHESE EDATTUKAREN (MD) is a healthcare provider. based in Corning, Arkansas. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. R4370 (AR). The NPI Number for MR. VARGHESE EDATTUKAREN (MD) is 1912930967

Main info

Male
53 Years Of Experience
Accepts Medicare Assignment
Name
MR. VARGHESE EDATTUKAREN (MD)
NPI
1912930967
Phone
(870) 857-3399
Address
PO BOX 83
Enumeration Date
9 July 2006
Last Update Date
16 January 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8708929949
Graduation Year
1973 (53 years ago)
PAC ID
2961304621
Group Practice PAC ID
0648184218
Professional Enrollment ID
I20040122001127
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MR. VARGHESE EDATTUKAREN (MD)

  • PO BOX 83

    1300 CREASON ROAD

    CORNING, AR 724220083

    Phone: (870) 857-3399

    Fax: (870) 857-9934

    Type: Mailing

  • 201, Colonial Drive, Walnut Ridge, Lawrence County, Arkansas, 72476, United States

    WALNUT RIDGE, AR 724761410

    Phone: (870) 886-5507

    Fax: (870) 886-5632

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72422)

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Provider's Procedures

MR. VARGHESE EDATTUKAREN (MD) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEAR83036Hemoglobin A1C level14379

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648184218View full group profile

Reviews

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Frequently asked questions

How do I look up MR. VARGHESE EDATTUKAREN (MD) by NPI?
Use NPI 1912930967 when you need to reference MR. VARGHESE EDATTUKAREN (MD) in forms, claims, or directories.
Is MR. VARGHESE EDATTUKAREN (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MR. VARGHESE EDATTUKAREN (MD) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for MR. VARGHESE EDATTUKAREN (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for MR. VARGHESE EDATTUKAREN (MD)?
The page summarizes Corning, Arkansas for MR. VARGHESE EDATTUKAREN (MD); expand the address list for detail.
What if Corning, Arkansas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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