PRIYA VERGHESE (MD) – Pediatric Nephrology Physician, NPI 1902917891

PRIYA VERGHESE (MD) is a healthcare provider. based in Chicago, Illinois. specializing in NEPHROLOGY. They hold the professional credentials MD. They hold a License No. 036151383 (IL). The NPI Number for PRIYA VERGHESE (MD) is 1902917891

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
PRIYA VERGHESE (MD)
NPI
1902917891
Phone
(800) 543-7362
Address
225 E CHICAGO AVE
Enumeration Date
31 August 2006
Last Update Date
2 December 2025

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
3122276415
Graduation Year
2000 (26 years ago)
PAC ID
4789723230
Group Practice PAC ID
4789597279
Professional Enrollment ID
I20210311001868
Address ID
IL606112991CH225XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Digital endpointsOther names

629 NEPHROLOGY in IL

Provider Addresses for PRIYA VERGHESE (MD)

  • 225 E CHICAGO AVE

    CHICAGO, IL 606112991

    Phone: (800) 543-7362

    Type: Location

  • 420 DELAWARE STREET SE, MMC 491

    UNIVERSITY OF MINNESOTA DEPARTMENT OF PEDIATRICS

    MINNEAPOLIS, MN 55455

    Phone: (612) 626-2765

    Fax: (612) 626-2791

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $1,887.

Total Amount is formed as General ($1,887) + Research ($0) + Ownership ($0) = $1,887.

Last reported payment date: 2023-09-06 • Largest payer in this snapshot: NS Pharma, Inc. ($1,860).

Total Amount

$1,887

General + Research + Ownership

Payments

3

Total payment records

General Amount

$1,887

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-06

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: 2021-03-11

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
I20210311001868INephrologyILTBD

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 60611)

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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: 4789597279View full group profile
NameSpecialtyState
Pulmonary Disease, Critical Care (Intensivists)IL
Pediatric Medicine, Cardiovascular Disease (Cardiology)IL
Pediatric Medicine, Cardiovascular Disease (Cardiology)IL
-IL
-IL
-IL
-IL
-IL
-IL
-IL

Reviews

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Frequently asked questions

How is PRIYA VERGHESE (MD) identified in CMS data?
CMS-hosted NPPES data lists PRIYA VERGHESE (MD) with NPI 1902917891.
Is PRIYA VERGHESE (MD) listed as active for patients and plans?
The listing shows PRIYA VERGHESE (MD) as active in the NPI system.
What is PRIYA VERGHESE (MD)'s specialty?
The listing groups PRIYA VERGHESE (MD) with Pediatric Nephrology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for PRIYA VERGHESE (MD)?
PRIYA VERGHESE (MD)'s geographic hint is Chicago, Illinois in our summary view.
Why does PRIYA VERGHESE (MD) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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