Individual provider Active NPI

Varsha Ram, PA-C

  • Physician Assistant
  • Sealy, TX
National Provider Identifier
1023392156
Registry record updated Oct 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA07378 Issued in TX
Practice address
1036 N Circle Dr
Sealy, TX 77474-3336
Phone
(989) 877-0022
Fax
(989) 885-3810
NPI assigned
Oct 7, 2011
Last updated
Oct 7, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA07378 TX Primary

Addresses

Primary practice location

1036 N Circle Dr
Sealy, TX 77474-3336

Mailing address

21540 Provincial Blvd Apt 928
Katy, TX 77450-7529
Phone (979) 877-0022

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130522000018 TX Practitioner - Physician Assistant 6608014279 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial City Cardiology Associates PA CurrentSince Nov 13, 2023 Accepting new patients
Walgreen Co Past Accepting new patients

Locations

1036 N Circle Dr
Sealy, TX 77474
Phone (281) 302-6636

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317945600000",
    "number": "1023392156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21540 PROVINCIAL BLVD APT 928",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774507529",
            "telephone_number": "979-877-0022",
            "fax_number": "979-885-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 N CIRCLE DR",
            "city": "SEALY",
            "state": "TX",
            "postal_code": "774743336",
            "telephone_number": "989-877-0022",
            "fax_number": "989-885-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAM",
        "first_name": "VARSHA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-07",
        "last_updated": "2011-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA07378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sealy, TX

Sources for this page

Verify at the official NPI Registry.