Active NPI
Varun Nagarajan
- Family Medicine Physician
- Austin, TX
National Provider Identifier
1619403342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- S3255
- Practice address
- 517 S Lamar Blvd
Austin, TX 78704-1548 - Phone
- (512) 861-8055
- NPI assigned
- May 1, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | S3255 | TX | Primary |
Addresses
Primary practice location
517 S Lamar Blvd
Austin, TX 78704-1548
Mailing address
517 S Lamar Blvd
Austin, TX 78704
Phone (512) 861-8055
Other practice location 1
1600 Providence Dr
Waco, TX 76707-2261
Phone (650) 384-5152
Other practice location 2
1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510
Phone (954) 712-6356
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S3255 | TX | MD | Family Medicine Physician |
Organizations & group practices 1
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.
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Addison, TX
- NPI 1851571608
CT
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648425600000",
"number": "1619403342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "517 S LAMAR BLVD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78704",
"telephone_number": "512-861-8055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 S LAMAR BLVD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787041548",
"telephone_number": "512-861-8055"
}
],
"practiceLocations": [
{
"address_1": "1600 Providence Dr",
"address_purpose": "LOCATION",
"city": "Waco",
"state": "TX",
"postal_code": "767072261",
"country_code": "US",
"telephone_number": "650-384-5152",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1600 S Andrews Ave",
"address_purpose": "LOCATION",
"city": "Fort Lauderdale",
"state": "FL",
"postal_code": "333162510",
"country_code": "US",
"telephone_number": "954-712-6356",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAGARAJAN",
"first_name": "VARUN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-05-01",
"last_updated": "2022-03-28",
"certification_date": "2022-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "S3255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.