Roshan Kottayadiyil Varghese
NPI 1912604083ActiveIndividual· Physical Therapist· Lake Elsinore, CA
Physical Therapist with Mdrs Spine and Sport Inc and 1 other group, practicing in Lake Elsinore, California. Medicare paid $22,014 for services to 52 patients in 2024.
Overview
| NPI | 1912604083 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Feb 9, 2023 |
| Last updated in NPPES | Nov 13, 2023 |
| Certified by provider | Nov 13, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 303260 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 52 |
|---|---|
| Services billed | 1,043 across 10 procedure codes |
| Paid by Medicare | $22,014 |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Mdrs Spine and Sport IncTemecula, CA · 192 clinicians
- California Sports Physical Therapy Centers IncAlbany, CA · 40 clinicians
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All 29 physical therapists in Lake Elsinore · All physical therapists in California