Individual provider Active NPI

Ajay Varanasi, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • St Petersburg, FL
National Provider Identifier
1104982420
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME108742 Issued in FL
Practice address
5775 5TH Ave N
St Petersburg, FL 33710-7103
Phone
(727) 345-5222
Fax
(727) 345-4066
NPI assigned
Dec 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME108742 FL Primary

Addresses

Primary practice location

5775 5TH Ave N
St Petersburg, FL 33710-7103

Mailing address

5225 5TH Ave N
St. Petersburg, FL 33710-7103
Phone (727) 345-5222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20110805000350 FL Practitioner - EndocrinologyPractitioner - Internal Medicine 7911176094 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Endocrinology and Diabetes Center LLCGroup PAC ID 0941442172, 5 clinicians

Practice addresses (Care Compare)

6229 66TH St N
Pinellas Park, FL 33781-5025
Phone (727) 623-9913

Hospital & facility affiliations

  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075
  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127
  • HCA Florida Pasadena Hospital a Part of HCA Florid Hospital, Saint Petersburg, FL, CCN 100126
  • Orlando Health Bayfront Hospital Hospital, Saint Petersburg, FL, CCN 100032
  • HCA Florida St Petersburg Hospital Hospital, Saint Petersburg, FL, CCN 100180

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Diabetes Virtual Clinic LLC Endocrinology, Diabetes & Metabolism Current Accepting new patients
Tampa Bay Diabetes, Thyroid, & Endocrinology Center, PA CurrentSince Jan 1, 2015 Accepting new patients
Florida Endocrinology & Diabetes Center LLC Endocrinology, Diabetes & Metabolism CurrentSince Jan 1, 2025 Accepting new patients

Locations

6229 66th St N
Pinellas Park, FL 33781
Phone (727) 528-1888

8839 Bryan Dairy Rd
Ste 110
Seminole, FL 33777
Phone (321) 735-0245

5775 5th Ave N
St Petersburg, FL 33710
Phone (727) 345-5222

2835 W De Leon St
Ste 102
Tampa, FL 33609
Phone (813) 374-5584

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DBFFBA/Endpoint/DBFFBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/DBFFBA

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 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": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1104982420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 5TH AVE N",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "337107103",
            "telephone_number": "727-345-5222",
            "fax_number": "727-345-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5775 5TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337107103",
            "telephone_number": "727-345-5222",
            "fax_number": "727-345-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARANASI",
        "first_name": "AJAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME108742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.