Basil Vareldzis, MD

Primary specialty

Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X

License

01036191A Issued in IN

Practice address

9125 Nautical Watch Dr
Indianapolis, IN 46236-9036

Phone

(317) 919-2846

NPI assigned

Nov 26, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1134765993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 361655",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462361655",
            "telephone_number": "317-919-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9125 NAUTICAL WATCH DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462369036",
            "telephone_number": "317-919-2846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARELDZIS",
        "first_name": "BASIL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-26",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01036191A",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "IN",
            "license": "01036191A",
            "primary": false
        },
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "IN",
            "license": "01036191A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra K Vanwye, NP
• Joshua Vanzant, MD
• Sarah Vanzile, NP
• Dina Varano, MA, LMHC
• Najara Varela, RBT
• Ailyn Vargas
• Bert B Vargas, MD
• Fernando B Vargas, MD
• Hugo A Vargas Jr., MS
• Juan Carlos Vargas, M.D.

• Psychosomatic Medicine Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Psychosomatic Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.