Individual provider Active NPI

Theodore Lawrence Varoz, DPM

  • Primary Podiatric Medicine Podiatrist
  • Albuquerque, NM
National Provider Identifier
1417993445
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
219 Issued in NM
Practice address
1204 C Candelaria NW
Albuquerque, NM 87107-2766
Phone
(505) 345-8529
Fax
(505) 345-6410
NPI assigned
Jun 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 219 NM Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 219 NM

Addresses

Primary practice location

1204 C Candelaria NW
Albuquerque, NM 87107-2766

Mailing address

1204 C Candelaria NW
Albuquerque, NM 87107-2766
Phone (505) 345-8529

Other identifiers 2

IdentifierTypeStateIssuer
53363MedicaidNM
CS00010705OtherNMCONTROLLED SUBSTANCE REGI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031201000338 NM Practitioner - Podiatry 9830094150 Practice locations: Albuquerque, NM

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1204 C Candelaria Rd NW
Albuquerque, NM 87107-2766

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions13
Removal of nail tissue142
Skin biopsy29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. 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.

State licenses

LicenseStateTypeSpecialty
213NMMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1417993445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 C CANDELARIA NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871072766",
            "telephone_number": "505-345-8529",
            "fax_number": "505-345-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 C CANDELARIA NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871072766",
            "telephone_number": "505-345-8529",
            "fax_number": "505-345-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAROZ",
        "first_name": "THEODORE",
        "middle_name": "LAWRENCE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NM",
            "license": "219",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NM",
            "license": "219",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53363",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE REGI",
            "identifier": "CS00010705",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.