NPIMap

Individual provider Active NPI

Varun Reddy, MD

  • Nephrology Physician
  • Hainesport, NJ
National Provider Identifier
1508420696
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
25MA12221300 Issued in NJ
Practice address
1261 Route 38 Ste a
Hainesport, NJ 08036-2702
Phone
(856) 222-1975
Fax
(856) 222-0721
NPI assigned
Apr 24, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 25MA12221300 NJ
Nephrology Physician 207RN0300X 25MA12221300 NJ Primary

Addresses

Primary practice location

1261 Route 38 Ste a
Hainesport, NJ 08036-2702

Mailing address

1261 Route 38 Ste a
Hainesport, NJ 08036-2702
Phone (856) 222-1975

Other practice location 1

1900 Mount Holly Rd Ste 4D
Burlington Township, NJ 08016-4725
Phone (856) 222-1975

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240509003876 NJ Practitioner - Nephrology 8628465465 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Center for Kidney Care, PCGroup PAC ID 3577549666, 13 clinicians
Professional Service Fund of Deborah Heart and Lung CenterGroup PAC ID 4284537499, 118 clinicians

Practice addresses (Care Compare)

1261 Route 38
Suite a
Hainesport, NJ 08036-2702
Phone (856) 222-1975

200 Trenton Rd
Browns Mills, NJ 08015-1705
Phone (609) 893-6611

Hospital & facility affiliations

  • DaVita Lumberton Dialysis Dialysis facility, Hainesport, NJ, CCN 312508
  • DaVita Delran Dialysis Dialysis facility, Delran, NJ, CCN 312521
  • DaVita Dialysis at Deborah Dialysis facility, Browns Mills, NJ, CCN 312648
  • DaVita Burlington North Dialysis Dialysis facility, Burlington, NJ, CCN 312548
  • DaVita Willingboro Dialysis Dialysis facility, Willingboro, NJ, CCN 312584
  • Virtua Mount Holly Hospital Hospital, Mount Holly, NJ, CCN 310057
  • Virtua Willingboro Hospital Hospital, Willingboro, NJ, CCN 310061
  • Deborah Heart and Lung Center Hospital, Browns Mills, NJ, CCN 310031
  • West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022
  • Virtua Our Lady of Lourdes Hospital Hospital, Camden, NJ, CCN 310029

Merit-based Incentive Payment System (MIPS)

Final score
95.33 of 100Reported as group
Quality
96.63
Promoting interoperability
99
Improvement activities
40
Cost
81.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Kidney Care, P.C. Nephrology CurrentSince Jul 1, 2024 Accepting new patients
Professional Service Fund of Deborah Heart & Lung Center CurrentSince Jul 1, 2024 Accepting new patients
Haddon Renal Medical Specialists, PA Nephrology Past Accepting new patients

Locations

200 Trenton Rd
Browns Mills, NJ 08015
Phone (609) 893-1200

1900 Mount Holly Rd
Ste 4
Burlington, NJ 08016

1900 Mount Holly Rd
Ste 4D
Burlington Township, NJ 08016
Phone (856) 222-1975

1261 Route 38
#A
Hainesport, NJ 08036
Phone (856) 222-1975

1542 Kuser Rd
Ste B3
Trenton, NJ 08619
Phone (609) 585-1800

Interoperability endpoints

  • Direct secure messaging: vreddy39297@direct.davitaphysiciansolutions.com

Organizations & group practices 4

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.

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1508420696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 ROUTE 38 STE A",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "080362702",
            "telephone_number": "856-222-1975",
            "fax_number": "856-222-0721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 ROUTE 38 STE A",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "080362702",
            "telephone_number": "856-222-1975",
            "fax_number": "856-222-0721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Mount Holly Rd Ste 4D",
            "address_purpose": "LOCATION",
            "city": "Burlington Township",
            "state": "NJ",
            "postal_code": "080164725",
            "country_code": "US",
            "telephone_number": "856-222-1975",
            "fax_number": "856-222-0721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDY",
        "first_name": "VARUN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-24",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA12221300",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA12221300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hainesport, NJ

Sources for this page

Verify at the official NPI Registry.