Individual provider Active NPI

Thomas G Varbedian, M.D.

  • Ophthalmology Physician
  • Bloomfield Hills, MI
National Provider Identifier
1619170966
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301022205 Issued in MI
Practice address
1860 Rathmor Rd
Bloomfield Hills, MI 48304-2147
Phone
(248) 647-0895
Fax
(248) 647-0894
NPI assigned
Jun 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 4301022205 MI Primary

Addresses

Primary practice location

1860 Rathmor Rd
Bloomfield Hills, MI 48304-2147

Mailing address

1860 Rathmor Rd
Bloomfield Hills, MI 48304-2147
Phone (248) 647-0895

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160519000711 MI Order and Referring Only - OphthalmologyPractitioner - Ophthalmology 5799074464

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619170966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 RATHMOR RD",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483042147",
            "telephone_number": "248-647-0895",
            "fax_number": "248-647-0894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 RATHMOR RD",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483042147",
            "telephone_number": "248-647-0895",
            "fax_number": "248-647-0894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARBEDIAN",
        "first_name": "THOMAS",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301022205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

Verify at the official NPI Registry.