Active NPI
Deidra L. Varner, M.D.
- Internal Medicine Physician
- Fort Washington, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0033512
- Practice address
- 11701 Livingston Rd
Suite 203
Fort Washington, MD 20744-5104 - Phone
- (301) 292-7270
- Fax
- (301) 203-0740
- NPI assigned
- May 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0033512 | MD | Primary |
Addresses
Primary practice location
11701 Livingston Rd
Suite 203
Fort Washington, MD 20744-5104
Mailing address
1509 Peachtree Court
Bowie, MD 20721
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 058050000 | Other | MD | PREFERRED HEALTH |
| 42219503 | Other | MD | BCBS OF MARYLAND |
| 7213045013 | Other | MD | CIGNA |
| 25970024 | Other | DC | BCBSNCA |
| 263126 | Other | MD | ALLIANCE |
| 498202 | Other | MD | NCPPO |
| 115479 | Other | MD | KAISER |
| 2088208 | Other | MD | AETNA US HEALTHCARE |
| 2500913 | Other | MD | UNTD HLTHC AMERI CHOICE |
| 481001500 | Medicaid | MD | |
| 521973185 | Other | MD | FIDELITY PMG |
| 408340 | Medicaid | DC | |
| 2501191 | Other | MD | EVERCARE |
| 4356542 | Other | MD | AETNA |
| 463126 | Other | MD | MAMSI |
| 521973185 | Other | MD | UNITED HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Howard University College of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10 Saint Patricks Dr
Waldorf, MD 20603-4527
Phone (301) 373-7900
24035 Three Notch Rd
Hollywood, MD 20636-4871
Phone (301) 373-7900
4240 Altamont PL
White Plains, MD 20695-3052
Phone (301) 373-7900
6710 Oxon Hill Rd
Suite 200
Oxon Hill, MD 20745-1124
Phone (301) 373-7900
7503 Surratts Rd
Clinton, MD 20735-3358
Phone (301) 868-8000
900 E Swan Creek Rd
Medstar Shah Medical Group
Ft Washington, MD 20744-5250
Phone (301) 877-4564
950 E Swann Creek Rd
Fort Washington, MD 20744
Phone (301) 292-7270
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.41 of 100
- Quality
- 61.45
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 79.91
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0033512 | MD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group - Southern Maryland LLC | Current | Accepting new patients | |
| Medstar Medical Group - Southern Maryland LLC | Current | Accepting new patients | |
| Joseph R. Robinson MD PC | Past | Accepting new patients |
Locations
950 E Swan Creek Rd
Ft Washington, MD 20744
Phone (301) 292-0236
24035 Three Notch Rd
Hollywood, MD 20636
Phone (301) 373-2588
Interoperability endpoints
- deidra.varnermd.p2@direct.msmg.nextgenshare.com
- https://api.platform.athenahealth.com/15457/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
dba MedStar Shah Medical Group, LLC
- Internal Medicine Physician
- Hollywood, MD
- NPI 1831592211
DC
-
dba MedStar Shah Medical Group LLC
- Cardiovascular Disease Physician
- Clinton, MD
- NPI 1003613043
-
- Ambulatory Surgical Clinic/Center
- Waldorf, MD
- NPI 1730571118
-
- Cardiovascular Disease Physician
- Washington, DC
- NPI 1427248764
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MedStar Southern Maryland Hospital
- General Acute Care Hospital
- Clinton, MD
- NPI 1366790693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238630400000",
"number": "1255399671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1509 PEACHTREE COURT",
"city": "BOWIE",
"state": "MD",
"postal_code": "20721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11701 LIVINGSTON RD",
"address_2": "SUITE 203",
"city": "FORT WASHINGTON",
"state": "MD",
"postal_code": "207445104",
"telephone_number": "301-292-7270",
"fax_number": "301-203-0740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARNER",
"first_name": "DEIDRA",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-03",
"last_updated": "2009-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0033512",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED HEALTH",
"identifier": "058050000",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MARYLAND",
"identifier": "42219503",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "7213045013",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNCA",
"identifier": "25970024",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALLIANCE",
"identifier": "263126",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPPO",
"identifier": "498202",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER",
"identifier": "115479",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "2088208",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNTD HLTHC AMERI CHOICE",
"identifier": "2500913",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "481001500",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELITY PMG",
"identifier": "521973185",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "408340",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "2501191",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4356542",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "463126",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "521973185",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Washington, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.