Varna Davalath, DO
Individual provider Active NPI Family Medicine Physician · Debary, FL
NPI 1538723499 · NPPES record last updated Aug 23, 2024
Key facts
- NPI
- 1538723499
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- OS17837 (FL)
- Practice address
- 190 N Charles Richard Beall Blvd Ste 103
Debary, FL 32713-2271 - Phone
- (386) 917-7670
- NPI assigned
- Apr 25, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Touro Un Col of Osteopathic Medicine, Henderson, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Ability Health Services, Inc
Ability Health Services and Rehabilitation LP
Sonoma County Indian Health Project Inc
Practice addresses (Care Compare)
1200 Lexington Green LN
Sanford, FL 32771-1013
144 Stony Point Rd
Santa Rosa, CA 95401-4122
Phone (707) 521-4545
Hospital & facility affiliations
- Adventhealth Fish Memorial
- Adventhealth Deland
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220824001096 | FL | Practitioner - Family Practice | 6103168380 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventhealth Primary Care Network Inc | Family Medicine | Current |
Accepting new patients |
| Southwest Volusia Healthcare Corporation | Past | Accepting new patients |
Locations
661 E Altamonte Dr
Ste 115
Altamonte Springs, FL 32701
Phone (407) 831-4040
190 N Charles Richard Beall Blvd
Ste 103
Debary, FL 32713
Phone (386) 917-7670
1745 Sterling Silver Blvd
Ste 102
Deltona, FL 32725
Phone (386) 917-7668
Interoperability endpoints
- vdavalath130584@adventhealth.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | OS17837 | FL | Yes |
Addresses
Primary practice location
190 N Charles Richard Beall Blvd Ste 103
Debary, FL 32713-2271
Mailing address
190 N Charles Richard Beall Blvd Ste 103
Debary, FL 32713-2271
Phone (386) 917-7670
Other providers in Debary, FL
- Antonio Miguel Cubano
- Ashlynn Da Silva
- Jessica Crystal Daigle
- Lisa Dante
- Danvar and Associates LLC
- David L. Johns, LMHC
- Davis Mental Health Counseling Services
- Elisa Davis
- Sharon A Day Osteen
- Debary Chiropractic Center Corp
All providers in Debary, FL · Family Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.