DR. LISA VARGHESE (MD) – Obstetrics & Gynecology Physician, NPI 1033614672

DR. LISA VARGHESE (MD) is a healthcare provider. based in Jacksonville, Florida. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. T9522 (TX). The NPI Number for DR. LISA VARGHESE (MD) is 1033614672

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. LISA VARGHESE (MD)
NPI
1033614672
Phone
(904) 383-1037
Address
653-1 W 8TH ST # L17
Enumeration Date
26 March 2018
Last Update Date
9 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9405916700
Graduation Year
2018 (8 years ago)
PAC ID
5597015594
Group Practice PAC ID
3476808411
Professional Enrollment ID
I20220927000173
Address ID
TX750343309FR5575XBLVD406
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

2,538 OBSTETRICS/GYNECOLOGY in FL

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Provider Addresses for DR. LISA VARGHESE (MD)

  • West 8th Street, Springfield, Jacksonville, Duval County, Florida, 32209, United States

    JACKSONVILLE, FL 322096511

    Phone: (904) 383-1037

    Fax: (904) 244-4059

    Type: Mailing

  • 5575 FRISCO SQUARE BLVD STE 380

    FRISCO, TX 750343309

    Phone: (940) 591-6700

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $417.

Total Amount is formed as General ($417) + Research ($0) + Ownership ($0) = $417.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Astellas Pharma US Inc ($125).

Total Amount

$417

General + Research + Ownership

Payments

19

Total payment records

General Amount

$417

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-09-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220927000173IObstetrics/GynecologyTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 32209)

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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: 3476808411View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YLA
O B S T E T R I C S/ G Y N E C O L O G YTX
-TX
O B S T E T R I C S/ G Y N E C O L O G YTX
Nurse PractitionerTX
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. LISA VARGHESE (MD)?
DR. LISA VARGHESE (MD) — NPI 1033614672 — is the standard way to identify this listing.
Is DR. LISA VARGHESE (MD) listed as active for patients and plans?
The listing shows DR. LISA VARGHESE (MD) as active in the NPI system.
What is DR. LISA VARGHESE (MD) best known for clinically?
Directory data describes DR. LISA VARGHESE (MD) with Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. LISA VARGHESE (MD)?
DR. LISA VARGHESE (MD)'s geographic hint is Jacksonville, Florida in our summary view.
Is the information about DR. LISA VARGHESE (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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