Individual provider Active NPI

Archana S. Varma, M.D

  • Pediatrics Physician
  • Missouri City, TX
National Provider Identifier
1013234764
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
P9480 Issued in TX
Practice address
20303 S University Blvd Ste 101
Missouri City, TX 77459-3662
Phone
(281) 208-9503
Fax
(281) 208-9504
NPI assigned
Apr 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X P9480 TX Primary

Addresses

Primary practice location

20303 S University Blvd Ste 101
Missouri City, TX 77459-3662

Mailing address

6427 Mallard Fields CT
Sugar Land, TX 77479-2189
Phone (281) 208-9503

Other identifiers 3

IdentifierTypeStateIssuer
344175004MedicaidTX
344175002MedicaidTX
344175003MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160502001686 TX Practitioner - Pediatric Medicine 2961701677 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Family Pediatric Group, P.a. Pediatrics CurrentSince Jul 21, 2024 Accepting new patients
Kelsey-Seybold Medical Group, PLLC Pediatrics CurrentSince May 16, 2016 Accepting new patients
Legacy Community Health Services, Inc Pediatrics CurrentSince Jul 13, 2024 Accepting new patients
Legacy Community Health Services, Inc CurrentSince Jul 13, 2024 Accepting new patients

Locations

1415 California St
Houston, TX 77006
Phone (713) 665-8800

6441 High Star Dr
Houston, TX 77074
Phone (832) 548-5300

2727 W Holcombe Blvd
Houston, TX 77025
Phone (713) 790-9412

7010 Highway 6
Missouri City, TX 77459
Phone (713) 442-4200

20303 S University Blvd
Ste 101
Missouri City, TX 77459
Phone (281) 208-9503

11511 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 442-4997

2515 Business Center Dr
Pearland, TX 77584
Phone (713) 442-7200

12540 Sugardale Dr
Stafford, TX 77477
Phone (601) 815-1368

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1013234764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6427 MALLARD FIELDS CT",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792189",
            "telephone_number": "281-208-9503",
            "fax_number": "281-208-9504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20303 S UNIVERSITY BLVD STE 101",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774593662",
            "telephone_number": "281-208-9503",
            "fax_number": "281-208-9504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARMA",
        "first_name": "ARCHANA",
        "middle_name": "S.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-20",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "P9480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "344175004",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "344175002",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "344175003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

Verify at the official NPI Registry.