Active NPI
Thomas P Varied, M.D.
- Internal Medicine Physician
- Mishawaka, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01062740A
- Practice address
- 5215 Holy Cross Parkway
Mishawaka, IN 46545-1469 - Phone
- (574) 335-5000
- Fax
- (574) 472-6262
- NPI assigned
- Jun 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301074457 | MI | |
| Hospitalist Physician | 208M00000X | 01062740A | IN | |
| Internal Medicine Physician | 207R00000X | 01062740A | IN | Primary |
Addresses
Primary practice location
5215 Holy Cross Parkway
Mishawaka, IN 46545-1469
Mailing address
810 Park PL
Mishawaka, IN 46545-3520
Phone (574) 472-6715
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000613082 | Other | IN | BCBS |
| 200837930 | Medicaid | IN | |
| 110240885 | Other | MI | RAILROAD MEDICARE |
| 110E26038 | Other | MI | BCBSM |
| 4416092 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469
Phone (574) 335-2443
Hospital & facility affiliations
- Saint Joseph Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.4 of 100
- Quality
- 65.6
- Improvement activities
- 40
- Cost
- 71.06
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01062740A | IN | MD | Internal Medicine Physician |
| 4301074457 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Galen Inpatient Physicians, PC | Internal Medicine | Current | Accepting new patients |
| Galen Inpatient Physicians PC | Hospitalist | Current | Accepting new patients |
| Sound Physicians of Indiana, LLC | Internal Medicine | Current | Accepting new patients |
| Galen Inpatient Physicians PC | Hospitalist | Current | Accepting new patients |
| Sound Physicians of Indiana, LLC | Internal Medicine | Current | Accepting new patients |
| Apogee Medical Group Indiana PC | Internal Medicine | Current | Accepting new patients |
| Alzheimer'S Disease and Related Disorders Association, Inc | Past | Accepting new patients |
Locations
601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252
5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280
5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674
Interoperability endpoints
- tvaried1158689@direct.trinity-health.org
Organizations & group practices 8
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.
-
- Hospitalist Physician
- Terre Haute, IN
- NPI 1871178368
Internal Medicine
-
- Internal Medicine Physician
- Goshen, IN
- NPI 1093973885
-
- Internal Medicine Physician
- Brentwood, TN
- NPI 1720416555
IN
-
- Hospitalist Physician
- Mishawaka, IN
- NPI 1528885951
-
- Hospitalist Physician
- Terre Haute, IN
- NPI 1184063257
Internal Medicine
-
- Hospitalist Physician
- Los Angeles, CA
- NPI 1205787686
-
- Voluntary or Charitable Agency
- Southfield, MI
- NPI 1801097522
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1023965795
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1841245594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730419200000",
"number": "1356345797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 PARK PL",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465453520",
"telephone_number": "574-472-6715",
"fax_number": "574-472-6746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5215 HOLY CROSS PARKWAY",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465451469",
"telephone_number": "574-335-5000",
"fax_number": "574-472-6262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARIED",
"first_name": "THOMAS",
"middle_name": "P",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-13",
"last_updated": "2024-11-01",
"certification_date": "2024-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301074457",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IN",
"license": "01062740A",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01062740A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000613082",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200837930",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110240885",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "110E26038",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4416092",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mishawaka, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.