Active NPI
Eliza Agrest Varadi, MD
- Pediatrics Physician
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- LL29944
- Practice address
- 452 Folly Rd
Charleston, SC 29412-2641 - Phone
- (843) 795-3344
- NPI assigned
- Jun 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | LL29944 | SC | Primary |
Addresses
Primary practice location
452 Folly Rd
Charleston, SC 29412-2641
Mailing address
452 Folly Rd
Charleston, SC 29412-2641
Phone (843) 367-7379
Other practice location 1
354 Folly Rd
Suite #5
Charleston, SC 29412-2594
Phone (843) 367-7379
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL29944 | SC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pelican Pediatrics LLC | Pediatrics | Current | Accepting new patients |
| Bon Secours St. Francis Xavier Hospital Inc. | Past | Accepting new patients |
Locations
452 Folly Rd
Charleston, SC 29412
Phone (843) 532-2816
452 Folly Rd
Unit A
Charleston, SC 29412
354 Folly Rd
Ste 5
Charleston, SC 29412
Phone (843) 225-2374
Interoperability endpoints
- evaradi5@ppl-sc.direct.office.nextgen.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Charleston, SC
- NPI 1306259544
-
dba Roper St. Francis Intensivist Services
- General Acute Care Hospital
- Charleston, SC
- NPI 1851361778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553644800000",
"number": "1255535191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "452 FOLLY RD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294122641",
"telephone_number": "843-367-7379",
"fax_number": "843-795-3143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "452 FOLLY RD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294122641",
"telephone_number": "843-795-3344"
}
],
"practiceLocations": [
{
"address_1": "354 Folly Rd",
"address_2": "Suite #5",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294122594",
"country_code": "US",
"telephone_number": "843-367-7379",
"fax_number": "843-795-3143",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VARADI",
"first_name": "ELIZA",
"middle_name": "AGREST",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-13",
"last_updated": "2019-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "LL29944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.