Balavittal Varanasi, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036-085451 Issued in IL

Practice address

936 M L King Dr
Centralia, IL 62801-3058

Phone

(618) 532-6439

Fax

(618) 532-1549

NPI assigned

Feb 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• B.Vittal Varanasi Professional name

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

42.87 of 100Reported as group

Quality

31.86

Promoting interoperability

0

Improvement activities

40

Cost

61.04

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Total Access Urgent Care, PC

  • Urgent Care Clinic/Center
  • Saint Louis, MO
  • NPI 1962684886
  Medicare reassignment NPD
• Total Access Urgent Care, PC

  • Urgent Care Clinic/Center
  • Saint Louis, MO
  • NPI 1952729402

  Family Medicine

  NPD
• Advanced Surgical Technology, LLC

  • Surgery Physician
  • Centralia, IL
  • NPI 1497159024
  NPD (past)
• Advanced Surgical Technology, LLC

  • Rural Health Clinic/Center
  • Carlyle, IL
  • NPI 1831876838
  NPD (past)
• Physician Services Corporation of Southern Illinois Inc.

  • Internal Medicine Physician
  • Mount Vernon, IL
  • NPI 1831101807

  Family Medicine

  NPD (past)
• Saint Louis Connectcare

  • Dermatology Physician
  • Saint Louis, MO
  • NPI 1396703278
  NPD (past)

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420416000000",
    "number": "1366419210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 M L KING DR",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628013058",
            "telephone_number": "618-532-6439",
            "fax_number": "618-532-1549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 M L KING DR",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628013058",
            "telephone_number": "618-532-6439",
            "fax_number": "618-532-1549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARANASI",
        "first_name": "BALAVITTAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2015-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-085451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "B.VITTAL",
            "last_name": "VARANASI",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Unlimited Development Inc.
• Jennifer Upton
• Danielle Vahlkamp, PHARMD., D.C.
• Stacy Vance
• Melissa Kristine Vangiesen, MS, ATC
• Alexandria Venhaus
• Coleman Riley Vizcarra
• Vna Homecare, Inc.
• Vna Homecare, Inc.
• Vna Privatecare, Inc.

• Family Medicine Physician in Centralia, IL
• Providers in Centralia, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; 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.

Verify at the official NPI Registry.