Individual provider Active NPI

Anju B Varanasi, MD

  • Family Medicine Physician
  • Sugar Land, TX
National Provider Identifier
1407070162
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N5451 Issued in TX
Practice address
17500 W Grand Pkwy S
Sugar Land, TX 77479-2562
Phone
(281) 725-5026
Fax
(281) 725-5089
NPI assigned
Apr 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01066678A IN
Internal Medicine Physician 207R00000X 01066678A IN
Hospitalist Physician 208M00000X N5451 TX
Internal Medicine Physician 207R00000X N5451 TX
Family Medicine Physician 207Q00000X N5451 TX Primary

Addresses

Primary practice location

17500 W Grand Pkwy S
Sugar Land, TX 77479-2562

Mailing address

909 Frostwood Dr Ste 1.405
Houston, TX 77024-2301
Phone (713) 338-5519

Other practice location 1

11800 Astoria Blvd
Houston, TX 77089-6041
Phone (281) 929-6184

Other identifiers 6

IdentifierTypeStateIssuer
P00760408OtherRAIL ROAD MEDICARE
200944160MedicaidIN
100180890GOtherINMEDICAID GROUP
50027287OtherKYPASSPORT
000000618860OtherANTHEM PIN
7100090290MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, HI, TX, LA, KS5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20090716000064 IN Practitioner - Family Practice 3971603622 Reassigns benefits to 3 organizations
I20110913000259 HI Practitioner - Family Practice 3971603622 Reassigns benefits to 3 organizations
I20121023000803 TX Practitioner - Family PracticePractitioner - Hospitalist 3971603622 Reassigns benefits to 9 organizations
I20200521001952 LA Practitioner - Family Practice 3971603622 Reassigns benefits to 2 organizations
I20220211000334 KS Practitioner - Family Practice 3971603622 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quantum Healthcare Medical Associates IncGroup PAC ID 5294647574, 109 clinicians
Jefferson Physician Services, PLLCGroup PAC ID 0547610677, 55 clinicians
Central Louisiana Physicians, LLCGroup PAC ID 9335598499, 55 clinicians
Gulf Coast Physician Services, PLLCGroup PAC ID 7214388826, 104 clinicians

Practice addresses (Care Compare)

1190 Waianuenue Ave
Hilo, HI 96720-2089
Phone (808) 932-3000

2830 Calder St
Beaumont, TX 77702-1809
Phone (409) 892-7171

3330 Masonic Dr
Alexandria, LA 71301-3841
Phone (318) 487-1122

5950 Saratoga Blvd
Corpus Christi, TX 78414-4100
Phone (361) 985-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01066678AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Indiana, LLC Internal Medicine CurrentSince May 24, 2019 Accepting new patients
Hawaii Post-Acute Medical Services 1 Inc Hospitalist CurrentSince May 24, 2023 Accepting new patients
North Texas Physician Services, PLLC Internal Medicine CurrentSince Feb 1, 2024 Accepting new patients
Bexar Physician Services, PLLC Internal Medicine CurrentSince Feb 1, 2024 Accepting new patients
Straub Clinic & Hospital CurrentSince Apr 12, 2022 Accepting new patients
Sound Physicians of Indiana, LLC Family Medicine CurrentSince May 20, 2019 Accepting new patients
Quantum Healthcare Medical Associates Inc. Family Medicine CurrentSince Sep 1, 2011 Accepting new patients
Sound Physicians of Indiana, LLC Family Medicine CurrentSince May 20, 2019 Accepting new patients
Gulf Coast Physician Services, PLLC Internal Medicine CurrentSince Feb 1, 2024 Accepting new patients
Hospitalist Physicians of Indiana, PC Family Medicine CurrentSince Oct 22, 2023 Accepting new patients
Central Louisiana Physicians, LLC Internal Medicine CurrentSince Aug 24, 2024 Accepting new patients
MMH Physicians Hospitalist CurrentSince Sep 16, 2016 Accepting new patients
Hospital Medicine Services of TX, PLLC Hospitalist CurrentSince Sep 28, 2023 Accepting new patients
Straub Clinic & Hospital CurrentSince Apr 12, 2022 Accepting new patients
Jefferson Physician Services, PLLC Internal Medicine CurrentSince Jan 2, 2024 Accepting new patients
Memorial Hermann Medical Group Family Medicine CurrentSince Jan 1, 2024 Accepting new patients
Hospitalist Medicine Physicians of Ashtabula County, LTD Internal Medicine Past Accepting new patients
Hilo Benioff Medical Center Past Accepting new patients
Hospitalist Medicine Physicians of Summit County, LTD. Internal Medicine Past Accepting new patients
Christus Health Southeast Texas Past Accepting new patients

Locations (25 of 38)

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

888 S King St
Honolulu, HI 96813
Phone (808) 522-4000

601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252

7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088

7952 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 435-2999

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280

2101 Dubois Dr
Warsaw, IN 46580
Phone (219) 267-3200

3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

1007 S William St
Atlanta, TX 75551
Phone (903) 614-2000

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

1505 E Winding Way Dr
Ste 200
Friendswood, TX 77546
Phone (713) 366-7800

12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444

915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222

909 Frostwood Dr
Ste 1405
Houston, TX 77024
Phone (713) 338-5519

1801 North Loop W
Ste 30
Houston, TX 77008
Phone (713) 802-9781

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

1311 Gen Cvazos Blvd
Kingsville, TX 78363
Phone (361) 595-1661

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

811 S Washington Ave
Marshall, TX 75670
Phone (903) 315-1488

Interoperability endpoints

  • Direct secure messaging: avaranasi21663@hhsc.direct-ci.com

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 22

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1407070162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 FROSTWOOD DR STE 1.405",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242301",
            "telephone_number": "713-338-5519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17500 W GRAND PKWY S",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792562",
            "telephone_number": "281-725-5026",
            "fax_number": "281-725-5089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11800 Astoria Blvd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770896041",
            "country_code": "US",
            "telephone_number": "281-929-6184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARANASI",
        "first_name": "ANJU",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01066678A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01066678A",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "N5451",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N5451",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N5451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00760408",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200944160",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "100180890G",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "50027287",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000618860",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100090290",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.