Individual provider Active NPI

Varun Madireddy, MD

  • Nephrology Physician
  • Brooklyn, NY
National Provider Identifier
1093163719
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
299985 Issued in NY
Practice address
115 1/2 Remsen St Ste 500
Brooklyn, NY 11201-4212
Phone
(718) 852-4949
NPI assigned
Jun 3, 2016
Last updated
Jul 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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 299985 NY Primary

Addresses

Primary practice location

115 1/2 Remsen St Ste 500
Brooklyn, NY 11201-4212

Mailing address

67-40 Booth Street # L4
Forest Hills, NY 11375-5064
Phone (917) 842-3061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20210806002487 NY Practitioner - Nephrology 7810227691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heights Nephrology Medical Group PCGroup PAC ID 8729979166, 5 clinicians

Practice addresses (Care Compare)

115 /2 Remsen St
Brooklyn, NY 11201-4212
Phone (718) 852-4949

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
299985NYMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heights Nephrology Medical Group, PC Single Specialty CurrentSince Jul 5, 2021 Accepting new patients

Locations

550 Kingston Ave
Brooklyn, NY 11203
Phone (718) 221-5342

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: vam9096@direct.nyp.org

Organizations & group practices 1

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.

Hospital & facility affiliations 6

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": "1464912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1093163719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67-40 BOOTH STREET # L4",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755064",
            "telephone_number": "917-842-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 1/2 REMSEN ST STE 500",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014212",
            "telephone_number": "718-852-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADIREDDY",
        "first_name": "VARUN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-03",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "299985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.