Individual provider Active NPI

Varsha Ramesh Baldridge, NP

  • Family Nurse Practitioner
  • Southfield, MI
National Provider Identifier
1497359228
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704288155 Issued in MI
Practice address
18000 W 9 Mile Rd Ste 630
Southfield, MI 48075-4013
Phone
(313) 757-7228
Fax
(248) 671-0175
NPI assigned
Nov 23, 2020
Last updated
Nov 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704288155 MI Primary

Addresses

Primary practice location

18000 W 9 Mile Rd Ste 630
Southfield, MI 48075-4013

Mailing address

18000 W 9 Mile Rd Ste 630
Southfield, MI 48075-4013
Phone (313) 757-7228

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201228001434 MI Practitioner - Nurse Practitioner 9537572144 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitality Visiting Physicians PLLCGroup PAC ID 2961870969, 7 clinicians

Practice addresses (Care Compare)

16250 Northland Dr
Southfield, MI 48075-5228
Phone (248) 862-5311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704288155MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Visiting Physicians, PLLC CurrentSince Jul 1, 2023 Accepting new patients
Sciometrix Inc CurrentSince Dec 1, 2024 Accepting new patients
Sciometrix LLC CurrentSince Dec 1, 2024 Accepting new patients

Locations

306 S Washington Ave
Ste 600
Royal Oak, MI 48067

16250 Northland Dr
Ste 318
Southfield, MI 48075
Phone (248) 862-5311

4007 Carpenter Rd
Ypsilanti, MI 48197
Phone (586) 419-3007

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1497359228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18000 W 9 MILE RD STE 630",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754013",
            "telephone_number": "313-757-7228",
            "fax_number": "248-671-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18000 W 9 MILE RD STE 630",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754013",
            "telephone_number": "313-757-7228",
            "fax_number": "248-671-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDRIDGE",
        "first_name": "VARSHA",
        "middle_name": "RAMESH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704288155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.