Active NPI
Nicholas C Varveris, D.P.M.
- Podiatrist
- Hilliard, OH
National Provider Identifier
1073671376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 36002083
- Practice address
- 4975 Cemetery Rd.
Hilliard, OH 43026-1641 - Phone
- (614) 771-1107
- Fax
- (614) 771-0429
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 36002083 | OH | Primary |
Addresses
Primary practice location
4975 Cemetery Rd.
Hilliard, OH 43026-1641
Mailing address
4975 Cemetery Rd.
Hilliard, OH 43026-1641
Phone (614) 771-1107
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0489805 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080527000598 | OH | Practitioner - Podiatry | 7315016789 | Practice locations: Hilliard, OH |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36002083 | OH | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458604800000",
"number": "1073671376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4975 CEMETERY RD.",
"city": "HILLIARD",
"state": "OH",
"postal_code": "430261641",
"telephone_number": "614-771-1107",
"fax_number": "614-771-0429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4975 CEMETERY RD.",
"city": "HILLIARD",
"state": "OH",
"postal_code": "430261641",
"telephone_number": "614-771-1107",
"fax_number": "614-771-0429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARVERIS",
"first_name": "NICHOLAS",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2016-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "OH",
"license": "36002083",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0489805",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hilliard, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.