Individual provider Active NPI

Elly Varma, M.D.

  • Internal Medicine Physician
  • Tuscon, AZ
National Provider Identifier
1255780789
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R75710 Issued in AZ
Practice address
1501 N Campbell Avenue Com Room 6336
Department of Medicine
Tuscon, AZ 85724
Phone
(520) 626-2761
NPI assigned
Jun 6, 2016
Last updated
Jun 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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 R75710 AZ Primary

Addresses

Primary practice location

1501 N Campbell Avenue Com Room 6336
Department of Medicine
Tuscon, AZ 85724

Mailing address

PO Box 245040 1501 N Campbell Avenue Com Room 6336
Department of Medicine
Tuscon, AZ 85724
Phone (520) 626-8818

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R75710AZMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1255780789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 245040 1501 N CAMPBELL AVENUE COM ROOM 6336",
            "address_2": "DEPARTMENT OF MEDICINE",
            "city": "TUSCON",
            "state": "AZ",
            "postal_code": "85724",
            "telephone_number": "520-626-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N CAMPBELL AVENUE COM ROOM 6336",
            "address_2": "DEPARTMENT OF MEDICINE",
            "city": "TUSCON",
            "state": "AZ",
            "postal_code": "85724",
            "telephone_number": "520-626-2761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARMA",
        "first_name": "ELLY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-06",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "R75710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscon, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.

Verify at the official NPI Registry.