Danielle Verghese, MD
NPI 1225691660 · Internal Medicine Physician · Phoenixville, PA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Danielle Verghese, MD is a Internal Medicine Physician provider in Phoenixville, PA (NPI 1225691660).
Provider details
- NPI number
- 1225691660
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- MD477604 (PA)
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
7 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
209 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 50 Minutes99233 | 89 | $119 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 69 | $79 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 29 | $116 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 11 | $175 |
| Hospital Discharge Day Management, 30 Minutes Or Less99238 | 11 | $82 |
Typical Medicare-allowed amounts for these services range $79–$175 (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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 10 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Gabapentin | 18 | — |
| Isosorbide Dinitrate | 18 | — |
| Pantoprazole Sodium | 17 | 11 |
| Carvedilol | 16 | — |
| Isosorbide Mononitratebrand: Isosorbide Mononitrate Er | 15 | — |
| Levetiracetam | 14 | — |
| Metoprolol Succinate | 14 | — |
Practice location
Mailing address
Additional practice locations (1)
- 833 Chestnut St Ste 220Philadelphia, PA 19107-4405Phone: (215) 955-8465Fax: (215) 955-2516
Registry dates
- Enumerated
- 2019-04-22
- Last updated
- 2025-08-28
- Certified
- 2025-08-28
Frequently asked questions
- What is Danielle Verghese's NPI number?
- Danielle Verghese's National Provider Identifier (NPI) is 1225691660, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Danielle Verghese's specialty?
- Danielle Verghese is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Danielle Verghese located?
- Danielle Verghese's practice location on file with NPPES is 140 Nutt Rd, Phoenixville, PA 19460-3906.
- What is Danielle Verghese's phone number?
- The practice phone number listed in the NPPES registry for Danielle Verghese is (484) 628-5455.
- Does Danielle Verghese accept Medicare?
- Danielle Verghese is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Danielle Verghese's NPI active?
- Yes — Danielle Verghese's NPI (1225691660) is active in the NPPES registry as of the last update on 2025-08-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.