NPIMap

Individual provider Active NPI

Ramzi Barnaba Vareldzis, MD

  • Nephrology Physician
  • Jackson, MS
National Provider Identifier
1033497698
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
301705 Issued in LA
Practice address
1850 Chadwick Dr
Jackson, MS 39204
Phone
(601) 376-2022
Fax
(601) 376-1816
NPI assigned
Aug 1, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 301705 LA Primary

Addresses

Primary practice location

1850 Chadwick Dr
Jackson, MS 39204

Mailing address

1542 Tulane Ave RM 330a
New Orleans, LA 70112-2865
Phone (504) 568-8655

Other identifiers 1

IdentifierTypeStateIssuer
21668OtherMSLICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210823003051 NY Practitioner - Internal MedicinePractitioner - Nephrology 2668642315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney Medical Associates PLLCGroup PAC ID 5698071868, 11 clinicians

Practice addresses (Care Compare)

34 Marconi St
Suite 110
Bronx, NY 10461-2755
Phone (800) 424-6589

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
301705LAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Medical Associates PLLC CurrentSince Sep 1, 2021 Accepting new patients
Bronx Nephrology Hypertension PC Nephrology Past Accepting new patients
Peter J Jensen MD PC Past Accepting new patients
River Oaks Management Company LLC Past Accepting new patients

Locations

2452 Bronx Park E
Bronx, NY 10467
Phone (718) 379-8100

34 Marconi St
Bronx, NY 10461
Phone (718) 518-0060

34 Marconi St
Ste 100
Bronx, NY 10461
Phone (718) 794-1200

34 Marconi St
Ste 110
Bronx, NY 10461
Phone (929) 286-5280

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: ramzi.vareldzis@direct.davitaphysiciansolutions.com

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1033497698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 TULANE AVE RM 330A",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122865",
            "telephone_number": "504-568-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 CHADWICK DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39204",
            "telephone_number": "601-376-2022",
            "fax_number": "601-376-1816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARELDZIS",
        "first_name": "RAMZI",
        "middle_name": "BARNABA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-01",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "301705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "21668",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.