Individual provider Active NPI

Varendra Jamwant, DPM

  • Foot & Ankle Surgery Podiatrist
  • The Villages, FL
National Provider Identifier
1205358777
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO4064 Issued in FL
Practice address
1580 Santa Barbara Blvd
The Villages, FL 32159-6827
Phone
(352) 259-2159
NPI assigned
Jul 16, 2017
Last updated
Dec 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO4064 FL
Foot & Ankle Surgery Podiatrist 213ES0103X PO4064 FL Primary

Addresses

Primary practice location

1580 Santa Barbara Blvd
The Villages, FL 32159-6827

Mailing address

442 Silver Dollar LN
Winter Garden, FL 34787-6552
Phone (407) 923-5268

Other practice location 1

410 Regal Downs Cir
Winter Garden, FL 34787-4030
Phone (407) 923-5268

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190729000116 FL Practitioner - Podiatry 4587990601 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Medical Associates of Florida Healthcare, PAGroup PAC ID 6800200940, 64 clinicians
Premier Medical Associates All Florida LLCGroup PAC ID 2365418019, 10 clinicians

Practice addresses (Care Compare)

1580 Santa Barbara Blvd
The Villages, FL 32159-6827
Phone (352) 259-2159

442 Silver Dollar LN
Winter Garden, FL 34787-6552
Phone (407) 923-5268

9311 SW Hwy 200
Ocala, FL 34481-9657
Phone (352) 259-2159

9311 SW Hwy 200
Suite B
Ocala, FL 34481
Phone (352) 259-2159

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue174
Removal of nail tissue183
Removal or shaving of skin growth22
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO4064FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Associates of Florida Healthcare, PA CurrentSince Sep 18, 2023 Accepting new patients
Premier Medical Associates All Florida, LLC CurrentSince Sep 18, 2023 Accepting new patients
Premier Medical Associates of Florida LLC CurrentSince Sep 18, 2023 Accepting new patients
Premier Medical Associates of Florida LLC CurrentSince Sep 18, 2023 Accepting new patients
Premier Specialty Alliance Inc CurrentSince Sep 18, 2023 Accepting new patients

Locations

1225 W County Road 48
Bushnell, FL 33513
Phone (352) 516-3972

9311 SW Highway 200
Ocala, FL 34481
Phone (352) 561-3222

9311 SW Highway 200
Ste B
Ocala, FL 34481

1511 Buenos Aires Blvd
The Villages, FL 32159

1511 Buenos Aires Blvd
Ste A
The Villages, FL 32159
Phone (352) 753-6846

1580 Santa Barbara Blvd
The Villages, FL 32159
Phone (352) 494-6882

1580 Santa Barbara Blvd
Ste D
The Villages, FL 32159
Phone (352) 508-1512

1950 Laurel Manor Dr
Bldg 200
The Villages, FL 32162
Phone (352) 205-8812

1950 Laurel Manor Dr
Ste 206
The Villages, FL 32162
Phone (352) 205-8812

910 Old Camp Rd
Ste 130
The Villages, FL 32162
Phone (352) 326-5254

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: vjamwant563756@direct.shands.ufl.edu

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 4

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": "1500163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1205358777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 SILVER DOLLAR LN",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347876552",
            "telephone_number": "407-923-5268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 SANTA BARBARA BLVD",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321596827",
            "telephone_number": "352-259-2159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 Regal Downs Cir",
            "address_purpose": "LOCATION",
            "city": "Winter Garden",
            "state": "FL",
            "postal_code": "347874030",
            "country_code": "US",
            "telephone_number": "407-923-5268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMWANT",
        "first_name": "VARENDRA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-16",
        "last_updated": "2023-12-04",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO4064",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO4064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.