NPIMap

Organization Active NPI

Dr Sujit R Varma Inc

  • Psychiatry Physician
  • Edina, MN
National Provider Identifier
1194098053
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
48076 Issued in MN
Legal business name
DR SUJIT R VARMA INC
Practice address
4444 West 76TH Street
Suite 400
Edina, MN 55435-5178
Phone
(612) 746-7347
Fax
(612) 746-7348
NPI assigned
Feb 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Authorized official

Name
Mr. Sujit Ram Varma, M.D.NPI 1013018258
Title
Owner
Phone
(952) 687-1724

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 48076 MN Primary

Addresses

Primary practice location

4444 West 76TH Street
Suite 400
Edina, MN 55435-5178

Mailing address

4444 West 76TH Street
Suite 400
Edina, MN 55435-5178
Phone (612) 746-7347

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130213000613 MN Part B Supplier - Clinic/Group Practice 1254585599 Receives reassigned benefits from 10 practitioners
Practice locations: Edina, MN

National Provider Directory

National Provider Directory

Locations

4444 W 76th St
Ste 400
Minneapolis, MN 55435
Phone (612) 746-7347

5346 Lyndale Ave S
Minneapolis, MN 55419
Phone (612) 746-5888

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21285/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1194098053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 WEST 76TH STREET",
            "address_2": "SUITE 400",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355178",
            "telephone_number": "612-746-7347",
            "fax_number": "612-746-7348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 WEST 76TH STREET",
            "address_2": "SUITE 400",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355178",
            "telephone_number": "612-746-7347",
            "fax_number": "612-746-7348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SUJIT R VARMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-22",
        "last_updated": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "VARMA",
        "authorized_official_first_name": "SUJIT",
        "authorized_official_middle_name": "RAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-687-1724",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "48076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.