DR. KEVIN CHACKO VARGHESE (DO) – Psychiatry Physician, NPI 1477181071

DR. KEVIN CHACKO VARGHESE (DO) is a healthcare provider. based in Bradley, Illinois. specializing in PSYCHIATRY. They hold the professional credentials DO. They hold a License No. 036171273 (IL). The NPI Number for DR. KEVIN CHACKO VARGHESE (DO) is 1477181071

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEVIN CHACKO VARGHESE (DO)
NPI
1477181071
Phone
(815) 937-1237
Address
400 S KENNEDY DR STE 300
Enumeration Date
30 March 2020
Last Update Date
2 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8159330007
Graduation Year
2020 (6 years ago)
PAC ID
7416371588
Group Practice PAC ID
3274434717
Professional Enrollment ID
I20240906004182
Address ID
IL609152686BR400XXDRXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,367 PSYCHIATRY in IL

Provider Addresses for DR. KEVIN CHACKO VARGHESE (DO)

  • 400 S KENNEDY DR STE 300

    BRADLEY, IL 609152682

    Phone: (815) 937-1237

    Fax: (815) 933-0662

    Type: Mailing

  • 350 N WALL ST

    KANKAKEE, IL 609012901

    Phone: (815) 933-1671

    Fax: (815) 933-0662

    Type: Location

  • 400 S Kennedy Dr Ste 300

    Bradley, IL 609152682

    Phone: (815) 937-1237

    Fax: (815) 933-0662

    Type: Location

  • 1438 S GRAND BLVD

    SAINT LOUIS, MO 631041027

    Phone: (314) 977-4850

    Fax: (314) 977-4876

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $462.

Total Amount is formed as General ($462) + Research ($0) + Ownership ($0) = $462.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($139).

Total Amount

$462

General + Research + Ownership

Payments

11

Total payment records

General Amount

$462

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

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: 2024-09-06

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
I20240906004182IPsychiatryILTBD

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 60915)

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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: 3274434717View full group profile
NameSpecialtyState
Nurse PractitionerIL
N E U R O L O G YIL
Physician AssistantIL
-IL
-IL
-IL
Internal MedicineIL
Nurse PractitionerIL
Family PracticeIL
N E U R O L O G YNY

Reviews

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Frequently asked questions

Can I use this page to confirm DR. KEVIN CHACKO VARGHESE (DO)'s NPI?
Yes. DR. KEVIN CHACKO VARGHESE (DO) is listed with NPI 1477181071 in the public NPI dataset.
Is DR. KEVIN CHACKO VARGHESE (DO) still practicing?
DR. KEVIN CHACKO VARGHESE (DO) is currently listed as active in the public NPI registry.
What healthcare role does DR. KEVIN CHACKO VARGHESE (DO) hold?
Scheduling teams often label DR. KEVIN CHACKO VARGHESE (DO) under Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What area does DR. KEVIN CHACKO VARGHESE (DO) serve?
DR. KEVIN CHACKO VARGHESE (DO)'s listing highlights Bradley, Illinois; more addresses can appear in NPPES.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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