Nisha Varghese, M.D.
NPI 1427137223 · Endocrinology, Diabetes & Metabolism Physician · Louisville, KY
Enrolled with Medicare as Practitioner - Endocrinology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nisha Varghese, M.D. is a Endocrinology, Diabetes & Metabolism Physician provider in Louisville, KY (NPI 1427137223).
Provider details
- NPI number
- 1427137223
- Entity type
- Individual
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 37290 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,893 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 502 | $15 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 471 | $116 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 324 | $165 |
| Hemoglobin A1c Level83036 | 280 | $9 |
| Continuous Monitoring of Blood Sugar Level in Tissue Fluid Using Sensor Under Skin With Interpretation and Report95251 | 191 | $32 |
| Ultrasound Scan of Head and Neck Soft Tissue |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 62 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodiumbrand: Synthroid | 368 | 88 |
| Levothyroxine Sodium | 259 | 69 |
| Dapagliflozin Propanediolbrand: Farxiga | 150 | 33 |
| Metformin Hclbrand: Metformin Hcl Er | 138 | 39 |
| Semaglutidebrand: Ozempic | 134 | 35 |
| Insulin Degludecbrand: Tresiba Flextouch U-100 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$249 across 17 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-03
- Last updated
- 2023-06-07
- Certified
- 2023-06-07
Frequently asked questions
- What is Nisha Varghese's NPI number?
- Nisha Varghese's National Provider Identifier (NPI) is 1427137223, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nisha Varghese's specialty?
- Nisha Varghese is listed in the NPPES registry with a primary specialty of Endocrinology, Diabetes & Metabolism Physician (Allopathic & Osteopathic Physicians).
- Where is Nisha Varghese located?
- Nisha Varghese's practice location on file with NPPES is 401 E Chestnut St Unit 710, Louisville, KY 40202-5707.
- What is Nisha Varghese's phone number?
- The practice phone number listed in the NPPES registry for Nisha Varghese is (502) 583-8303.
- Does Nisha Varghese accept Medicare?
- Nisha Varghese is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nisha Varghese's NPI active?
- Yes — Nisha Varghese's NPI (1427137223) is active in the NPPES registry as of the last update on 2023-06-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.