Individual provider Active NPI

Varun Dobariya

  • Internal Medicine Physician
  • Monongahela, PA
National Provider Identifier
1093336802
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD483248 Issued in PA
Practice address
1029 Country Club Rd Ste 204
Monongahela, PA 15063-1564
Phone
(724) 707-6462
Fax
(877) 569-3217
NPI assigned
May 4, 2020
Last updated
Jan 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD483248 PA Primary

Addresses

Primary practice location

1029 Country Club Rd Ste 204
Monongahela, PA 15063-1564

Mailing address

1029 Country Club Rd Ste 204
Monongahela, PA 15063-1564
Phone (724) 707-6462

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240208003082 PA Practitioner - Internal Medicine 6406271089 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centerville Clinics, Inc.Group PAC ID 7214837202, 44 clinicians

Practice addresses (Care Compare)

1070 Old National Pike
Centerville Clinic
Fredericktown, PA 15333-2114
Phone (724) 632-6801

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
877WVMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Centerville Clinics, Inc. Current Accepting new patients
Mon-Vale Primary Care Practices Inc Internal Medicine CurrentSince Jan 8, 2024 Accepting new patients
Centerville Clinics, Inc CurrentSince Apr 3, 2025 Accepting new patients
Centerville Clinics, Inc. CurrentSince Apr 3, 2025 Accepting new patients
Centerville Clinics, Inc. Current Accepting new patients
Centerville Clinics, Inc. Current Accepting new patients
Centerville Clinics, Inc. Current Accepting new patients

Locations

6108 Brownsville Road Ext
Ste 204
Finleyville, PA 15332
Phone (724) 782-0723

1070 Old National Pike
Fredericktown, PA 15333

1029 Country Club Rd
Ste 204
Monongahela, PA 15063
Phone (724) 258-4048

1163 Country Club Rd
Monongahela, PA 15063
Phone (724) 258-1000

Interoperability endpoints

  • Direct secure messaging: varun.dobariya.1@33484.direct.athenahealth.com

Organizations & group practices 7

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 3

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": "1588550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1093336802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 COUNTRY CLUB RD STE 204",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "150631564",
            "telephone_number": "724-707-6462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 COUNTRY CLUB RD STE 204",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "150631564",
            "telephone_number": "724-707-6462",
            "fax_number": "877-569-3217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBARIYA",
        "first_name": "VARUN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-04",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD483248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monongahela, PA

Sources for this page

Verify at the official NPI Registry.