Dr. Nisha Varghese
Dr. Nisha Varghese

Dr. Nisha Varghese

  • Gender: Female
  • Experience: 13 years
  • Graduated from: Baylor College Of Medicine
  • Graduation year: 2008
  • Sole propriator: Yes
  • NPI: 1861629305

Dr. Nisha Varghese M.D.

Family Physician

She is located at 400 Austin Street in Richmond, TX 77469. Can help patients with the following: Abdominal Pain, Aging In Place, Anxiety, Arthritis, Birth Control Counseling, Hypothyroidism. Her National Provider Identifier (NPI) number is 1861629305. Appointment can be made via the phone number (281) 342-4530. She is affiliated with 3 practices.

Conditions treated

Dr. Nisha Varghese, being an family physician, treats the following conditions. Please be advised that this list may not be complete. For the full list of conditions treated, consult directly with Dr. Nisha Varghese.

  • Abdominal Pain
  • Aging In Place
  • Anxiety
  • Arthritis
  • Asthma
  • Autism
  • Birth Control Counseling
  • Breastfeeding and Lactation
  • Chronic Obstructive Pulmonary Disease (COPD)
  • Common Cold
  • Diabetes
  • Fever
  • General Care
  • Headache
  • Heart Disease
  • High Blood Pressure
  • Hyperlipidemia
  • Hypothyroidism
  • Infant Care
  • Influenza
  • Migraine
  • Mold Exposure
  • Nausea and Vomiting
  • Obesity
  • Osteoarthritis (OA)
  • Osteoporosis
  • Pregnancy
  • Prenatal Care
  • Prescription Refill
  • Thyroid Disease
  • Women's Health

ACA Marketplace (Obamacare/HealthCare.gov) plan networks

Insurers selling ACA Marketplace (HealthCare.gov) plans list Dr. Nisha Varghese as in-network for the following 2026 plans.

Health plans

Ambetter from Superior HealthPlan

Network data as of Sep 15, 2026, as reported by the insurer.

Show all 12 plans from Ambetter from Superior HealthPlan
Ambetter from Superior HealthPlan plans
Plan Plan type Network tier New patients
Complete Gold EPO · Gold Preferred Accepting new patients
Complete Gold + Vision + Adult Dental EPO · Gold Preferred Accepting new patients
Enhanced Diabetes Care Silver with $0 Drug Options EPO · Silver Preferred Accepting new patients
Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental EPO · Silver Preferred Accepting new patients
Everyday Gold EPO · Gold Preferred Accepting new patients
Everyday Gold + Vision + Adult Dental EPO · Gold Preferred Accepting new patients
Focused Silver EPO · Silver Preferred Accepting new patients
Focused Silver + Vision + Adult Dental EPO · Silver Preferred Accepting new patients
Standard Gold EPO · Gold Preferred Accepting new patients
Standard Gold + Vision + Adult Dental EPO · Gold Preferred Accepting new patients
Standard Silver EPO · Silver Preferred Accepting new patients
Standard Silver + Vision + Adult Dental EPO · Silver Preferred Accepting new patients

Ambetter from Superior HealthPlan

Network data as of Sep 15, 2026, as reported by the insurer.

Show all 6 plans from Ambetter from Superior HealthPlan
Ambetter from Superior HealthPlan plans
Plan Plan type Network tier New patients
Complete VALUE Gold (3 plan variants) HMO · Gold Preferred Accepting new patients
Focused VALUE Silver (3 plan variants) HMO · Silver Preferred Accepting new patients
Focused VALUE Silver + Vision + Adult Dental (3 plan variants) HMO · Silver Preferred Accepting new patients
Standard Gold VALUE (3 plan variants) HMO · Gold Preferred Accepting new patients
Standard Silver VALUE (3 plan variants) HMO · Silver Preferred Accepting new patients
Standard Silver VALUE + Vision + Adult Dental (3 plan variants) HMO · Silver Preferred Accepting new patients

Blue Cross and Blue Shield of Texas

Network data as of Jun 7, 2026, as reported by the insurer.

Show all 19 plans from Blue Cross and Blue Shield of Texas
Blue Cross and Blue Shield of Texas plans
Plan Plan type Network tier New patients
Blue Advantage Bronze HMO℠ 204 (27 plan variants) HMO · Expanded Bronze Blue Advantage HMO Accepting new patients
Blue Advantage Bronze HMO℠ 301 (14 plan variants) HMO · Bronze Blue Advantage HMO Accepting new patients
Blue Advantage Bronze HMO℠ Standard (27 plan variants) HMO · Expanded Bronze Blue Advantage HMO Accepting new patients
Blue Advantage Gold HMO℠ 206 (27 plan variants) HMO · Gold Blue Advantage HMO Accepting new patients
Blue Advantage Gold HMO℠ 603 (14 plan variants) HMO · Gold Blue Advantage HMO Accepting new patients
Blue Advantage Gold HMO℠ Standard (27 plan variants) HMO · Gold Blue Advantage HMO Accepting new patients
Blue Advantage Plus Bronze℠ 303 (27 plan variants) POS · Expanded Bronze Blue Advantage HMO Accepting new patients
Blue Advantage Plus Bronze℠ 305 (27 plan variants) POS · Bronze Blue Advantage HMO Accepting new patients
Blue Advantage Plus Bronze℠ Standard (27 plan variants) POS · Expanded Bronze Blue Advantage HMO Accepting new patients
Blue Advantage Plus Gold℠ 203 (27 plan variants) POS · Gold Blue Advantage HMO Accepting new patients
Blue Advantage Plus Gold℠ 803 (27 plan variants) POS · Gold Blue Advantage HMO Accepting new patients
Blue Advantage Plus Gold℠ Standard (27 plan variants) POS · Gold Blue Advantage HMO Accepting new patients
Blue Advantage Plus Silver℠ 202 (27 plan variants) POS · Silver Blue Advantage HMO Accepting new patients
Blue Advantage Plus Silver℠ 605 (27 plan variants) POS · Silver Blue Advantage HMO Accepting new patients
Blue Advantage Plus Silver℠ Standard (27 plan variants) POS · Silver Blue Advantage HMO Accepting new patients
Blue Advantage Security HMO℠ 200 (27 plan variants) HMO · Catastrophic Blue Advantage HMO Accepting new patients
Blue Advantage Silver HMO℠ 205 (27 plan variants) HMO · Silver Blue Advantage HMO Accepting new patients
Blue Advantage Silver HMO℠ 801 (14 plan variants) HMO · Silver Blue Advantage HMO Accepting new patients
Blue Advantage Silver HMO℠ Standard (27 plan variants) HMO · Silver Blue Advantage HMO Accepting new patients

Community Health Choice

Network data as of Jan 28, 2026, as reported by the insurer.

Show all 18 plans from Community Health Choice
Community Health Choice plans
Plan Plan type Network tier New patients
Community Premier Bronze 003 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) HMO · Expanded Bronze Non Preferred Accepting new patients
Community Premier Bronze 003 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) HMO · Expanded Bronze Preferred Accepting new patients
Community Premier Bronze 018 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) HMO · Expanded Bronze Non Preferred Accepting new patients
Community Premier Bronze 018 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) HMO · Expanded Bronze Preferred Accepting new patients
Community Premier Gold 005 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) HMO · Gold Non Preferred Accepting new patients
Community Premier Gold 005 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) HMO · Gold Preferred Accepting new patients
Community Premier Gold 021 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) HMO · Gold Non Preferred Accepting new patients
Community Premier Gold 021 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) HMO · Gold Preferred Accepting new patients
Community Premier Silver 012 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) HMO · Silver Non Preferred Accepting new patients
Community Premier Silver 012 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) HMO · Silver Preferred Accepting new patients
Community Premier Silver 020 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) HMO · Silver Non Preferred Accepting new patients
Community Premier Silver 020 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) HMO · Silver Preferred Accepting new patients
Community Select Bronze 016 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) HMO · Expanded Bronze Non Preferred Accepting new patients
Community Select Bronze 016 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) HMO · Expanded Bronze Preferred Accepting new patients
Community Select Gold 022 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) (2 plan variants) HMO · Gold Non Preferred Accepting new patients
Community Select Gold 022 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) (2 plan variants) HMO · Gold Preferred Accepting new patients
Community Select Silver 019 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) (2 plan variants) HMO · Silver Non Preferred Accepting new patients
Community Select Silver 019 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) (2 plan variants) HMO · Silver Preferred Accepting new patients

Oscar Insurance Company

Network data as of Sep 15, 2026, as reported by the insurer.

Show all 12 plans from Oscar Insurance Company
Oscar Insurance Company plans
Plan Plan type Network tier New patients
Bronze Classic 4700 EPO · Expanded Bronze Preferred Accepting new patients
Bronze Classic Standard EPO · Expanded Bronze Preferred Accepting new patients
Bronze Elite + PCP Saver Plus EPO · Expanded Bronze Preferred Accepting new patients
Bronze Simple Breathe Easy with Enhanced COPD Benefits EPO · Expanded Bronze Preferred Accepting new patients
Bronze Simple Chronic Care CKM EPO · Expanded Bronze Preferred Accepting new patients
Bronze Simple Diabetes EPO · Expanded Bronze Preferred Accepting new patients
Gold Classic EPO · Gold Preferred Accepting new patients
Gold Classic Standard EPO · Gold Preferred Accepting new patients
Gold Elite EPO · Gold Preferred Accepting new patients
Silver Classic EPO · Silver Preferred Accepting new patients
Silver Classic Standard EPO · Silver Preferred Accepting new patients
Silver Simple PCP Saver EPO · Silver Preferred Accepting new patients

UnitedHealthcare

Network data as of Sep 15, 2026, as reported by the insurer.

Show all 14 plans from UnitedHealthcare
UnitedHealthcare plans
Plan Plan type Network tier New patients
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) HMO · Expanded Bronze Non Preferred Accepting new patients
UHC Bronze Essential ($0 Virtual Urgent Care) HMO · Bronze Non Preferred Accepting new patients
UHC Bronze Standard HMO · Expanded Bronze Non Preferred Accepting new patients
UHC Bronze Standard+ (Dental + Vision) HMO · Expanded Bronze Non Preferred Accepting new patients
UHC Gold Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx) HMO · Gold Non Preferred Accepting new patients
UHC Gold Advantage+ ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision) HMO · Gold Non Preferred Accepting new patients
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx) HMO · Gold Non Preferred Accepting new patients
UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision) HMO · Gold Non Preferred Accepting new patients
UHC Gold Standard HMO · Gold Non Preferred Accepting new patients
UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx) HMO · Silver Non Preferred Accepting new patients
UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision) HMO · Silver Non Preferred Accepting new patients
UHC Silver Standard HMO · Silver Non Preferred Accepting new patients
UHC Silver Value ($0 Virtual Urgent Care) HMO · Silver Non Preferred Accepting new patients
UHC Silver Value+ ($0 Virtual Urgent Care, Dental + Vision) HMO · Silver Non Preferred Accepting new patients

UnitedHealthcare

Network data as of Sep 15, 2026, as reported by the insurer.

Show all 11 plans from UnitedHealthcare
UnitedHealthcare plans
Plan Plan type Network tier New patients
UHC Sanitas Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) HMO · Expanded Bronze Non Preferred Accepting new patients
UHC Sanitas Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision) HMO · Expanded Bronze Non Preferred Accepting new patients
UHC Sanitas Bronze Standard HMO · Expanded Bronze Non Preferred Accepting new patients
UHC Sanitas Gold Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx) HMO · Gold Non Preferred Accepting new patients
UHC Sanitas Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx) HMO · Gold Non Preferred Accepting new patients
UHC Sanitas Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision) HMO · Gold Non Preferred Accepting new patients
UHC Sanitas Gold Standard HMO · Gold Non Preferred Accepting new patients
UHC Sanitas Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) HMO · Silver Non Preferred Accepting new patients
UHC Sanitas Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision) HMO · Silver Non Preferred Accepting new patients
UHC Sanitas Silver Standard HMO · Silver Non Preferred Accepting new patients
UHC Sanitas Silver Value ($0 Virtual Urgent Care) HMO · Silver Non Preferred Accepting new patients

This covers ACA Marketplace plans only, as reported by each insurer. It does not include employer, Medicare Advantage, or state-run exchange plans, and a plan missing from this list does not mean Dr. Nisha Varghese is out of network. Insurer directories can be out of date, so always confirm with the insurer and the office before your visit.

Insurance information looks wrong? Let us know

Medicare Enrollment

Dr. Nisha Varghese is enrolled to bill Medicare as a Practitioner - Family Practice (also registered under: Practitioner - Addiction Medicine) .

Bills through: Fort Bend Family Health Center Inc

Based on Medicare's public enrollment records as of Jul 17, 2026. This reflects Medicare fee-for-service enrollment only and says nothing about other insurance, quality, outcomes, or board certification.

Payments received

Drug payment

Alkermes $137
Indivior $114
Janssen $32

Other

Food and Beverage $310

Studies

BAYLOR COLLEGE OF MEDICINE

Graduated in 2008

Additional Specialities

  • Resident

Affiliated practices

Memorial Hermann Medical Group
1801 North Loop West
Houston, 77008 TX
(713) 802-9781
Fort Bend Family Health Center
307 Texas Parkway
Missouri City, 77489 TX
(281) 969-1800
Accesshealth
5353 Ridge Creek Circle
Houston, 77053 TX
(281) 969-1825

Looking for more Family Physicians?

Out of the 19 family physicians in this region, here are 10 randomly selected ones for you to explore.

Prudence Cornelius Oppong
  • Gender: Female
  • Address: 15010 Memorial Drive Houston, 77079, TX
Dr. Sylvester G. Vaughns
  • Gender: Male
  • Address: 2000 Dowling Drive Richmond, 77469, TX
Dr. John Ming-Shieh Lu
  • Gender: Male
  • Address: 2100 Preston Street Richmond, 77469, TX
Dr. Anita Alvarez-Cruz
  • Gender: Female
  • Address: 20811 Westheimer Parkway Suite A Katy, 77450, TX
Dr. Jimmy D. Robertson
  • Gender: Male
  • Address: 400 Austin Street Richmond, 77469, TX
Dr. Harry Y. Wong
  • Gender: Male
  • Address: 8300 Wilcrest Drive Suite A Houston, 77072, TX
Dr. Benjamin E. Oei
  • Gender: Male
  • Address: 1705 Jackson Street Richmond, 77469, TX
Dr. Suklesh Dandona
  • Gender: Female
  • Address: Suite 306 1601 Main Street Richmond, 77469, TX
Dr. Carlos E. Munoz
  • Gender: Male
  • Address: Suite 108 1601 Main Street Richmond, 77469, TX
Dr. Julio C. Molina
  • Gender: Male
  • Address: Suite 301 1601 Main Street Richmond, 77469, TX

Questions & Answers

Where can you meet with Dr. Nisha Varghese?

Dr. Nisha Varghese's office is located at 400 Austin Street in Richmond, TX 77469.

Does Dr. Nisha Varghese accept insurance?

Dr. Nisha Varghese is listed in-network for 92 ACA Marketplace (Obamacare/HealthCare.gov) plans from Ambetter from Superior HealthPlan, Blue Cross and Blue Shield of Texas, Community Health Choice, Oscar Insurance Company, UnitedHealthcare. See the Marketplace plans section for details.

Does Dr. Nisha Varghese have affiliation with practices?

Dr. Nisha Varghese is affiliated with Memorial Hermann Medical Group. For the full list of practices see this list.

What conditions does Dr. Nisha Varghese treat?

Dr. Nisha Varghese provides treatment for Abdominal Pain, Aging In Place, Anxiety, Arthritis, Birth Control Counseling, Hypothyroidism. For the full list see this list.