Individual provider Active NPI

Rupashree Varadarajan, M.D.

  • Internal Medicine Physician
  • Greensboro, NC
National Provider Identifier
1144250820
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2004-01344 Issued in NC
Practice address
301 E Wendover Ave Ste 200
Greensboro, NC 27401-1232
Phone
(336) 274-3241
Fax
(336) 272-7134
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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 2004-01344 NC Primary

Addresses

Primary practice location

301 E Wendover Ave Ste 200
Greensboro, NC 27401-1232

Mailing address

PO Box 14883
Greensboro, NC 27415-4883
Phone (336) 274-6515

Other identifiers 9

IdentifierTypeStateIssuer
203243087OtherWELLPATH
203243087OtherGREATWEST
7371814OtherNCCIGNA HEALTHCARE
185153OtherNCMEDCOST
7442775OtherAETNA
14008OtherNCBCBS
2563633OtherUNITED
203242087OtherNCPHCS
5902336MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rupashree.varadarajan@eaglep.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20051011000338 NC Practitioner - Internal Medicine 4981629078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

301 E Wendover Ave
Suite 200
Greensboro, NC 27401-1232
Phone (336) 574-3241

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eagle Physicians and Associates PA CurrentSince Jul 10, 2017 Accepting new patients
Eagle Physicians and Associates PA Current Accepting new patients
Eagle Physicians and Associates PA CurrentSince Jul 10, 2017 Accepting new patients
Wakemed Faculty Practice Plan Internal Medicine Past Accepting new patients
Amarika Family Medicine. P.C. Past Accepting new patients
Eagle Physicians and Associates PA Past Accepting new patients
Eagle Physicians and Associates PA Past Accepting new patients
Wakemed Faculty Practice Plan Past Accepting new patients
Bethany Medical Center Past Accepting new patients
Raleigh Durham Medical Group PA Internal Medicine Past Accepting new patients

Locations

301 E Wendover Ave
Ste 200
Greensboro, NC 27401
Phone (336) 274-3241

Interoperability endpoints

  • Direct secure messaging: rupashree.varadarajan@eaglep.eclinicaldirectplus.com

Organizations & group practices 10

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 2

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1144250820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14883",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274154883",
            "telephone_number": "336-274-6515",
            "fax_number": "336-691-8042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E WENDOVER AVE STE 200",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011232",
            "telephone_number": "336-274-3241",
            "fax_number": "336-272-7134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARADARAJAN",
        "first_name": "RUPASHREE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2004-01344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLPATH",
            "identifier": "203243087",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREATWEST",
            "identifier": "203243087",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "7371814",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "185153",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7442775",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "14008",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "2563633",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "203242087",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902336",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rupashree.varadarajan@eaglep.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "301 E Wendover Ave Ste 200",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274011232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.