Basil Verghese, M.D
NPI 1174962104 · Hospitalist Physician · Rochester, NY
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Basil Verghese, M.D is a Hospitalist Physician provider in Rochester, NY (NPI 1174962104).
Provider details
- NPI number
- 1174962104
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- No
- License
- 285299 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
13 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
140 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 65 | $78 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 41 | $118 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 17 | $172 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 17 | $114 |
Typical Medicare-allowed amounts for these services range $78–$172 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (2)
- 2 Coulter RdClifton Springs, NY 14432-1122Phone: (315) 462-1472Fax: (315) 462-2639
- 1200 Driving Park AveNewark, NY 14513-1090Phone: (315) 359-2847Fax: (315) 359-2806
Registry dates
- Enumerated
- 2013-06-24
- Last updated
- 2021-05-14
- Certified
- 2021-05-14
Frequently asked questions
- What is Basil Verghese's NPI number?
- Basil Verghese's National Provider Identifier (NPI) is 1174962104, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Basil Verghese's specialty?
- Basil Verghese is listed in the NPPES registry with a primary specialty of Hospitalist Physician (Allopathic & Osteopathic Physicians).
- Where is Basil Verghese located?
- Basil Verghese's practice location on file with NPPES is 1425 Portland Ave, Rochester, NY 14621-3001.
- What is Basil Verghese's phone number?
- The practice phone number listed in the NPPES registry for Basil Verghese is (585) 922-4000.
- Does Basil Verghese accept Medicare?
- Basil Verghese is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Basil Verghese's NPI active?
- Yes — Basil Verghese's NPI (1174962104) is active in the NPPES registry as of the last update on 2021-05-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.