Individual provider Active NPI

Christopher S Vara, MD

  • Pediatric Orthopaedic Surgery Physician
  • Woodbury, MN
National Provider Identifier
1659566479
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
MD-42802 Issued in IA
Practice address
215 Radio Drive
Suite 100
Woodbury, MN 55125-5817
Phone
(612) 596-6100
Fax
(612) 339-0324
NPI assigned
Sep 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Orthopaedic Surgery Physician 207XP3100X 59606 MN
Pediatric Orthopaedic Surgery Physician 207XP3100X 13823 ND
Pediatric Orthopaedic Surgery Physician 207XP3100X 036.146988 IL
Pediatric Orthopaedic Surgery Physician 207XP3100X 2018024524 MO
Pediatric Orthopaedic Surgery Physician 207XP3100X 28649 NE
Pediatric Orthopaedic Surgery Physician 207XP3100X 9608 SD
Pediatric Orthopaedic Surgery Physician 207XP3100X M8401 TX
Pediatric Orthopaedic Surgery Physician 207XP3100X 64158-20 WI
Pediatric Orthopaedic Surgery Physician 207XP3100X MD-42802 IA Primary

Addresses

Primary practice location

215 Radio Drive
Suite 100
Woodbury, MN 55125-5817

Mailing address

215 Radio Drive
Suite 100
Woodbury, MN 55125-3604
Phone (612) 596-6100

Other identifiers 1

IdentifierTypeStateIssuer
189140001MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MN, IA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20071217000776 TX Practitioner - Orthopedic SurgeryPractitioner - Pediatric Medicine 5597794149 Reassigns benefits to 1 organization
I20150908001494 MN Practitioner - Orthopedic Surgery 5597794149 Reassigns benefits to 1 organization
I20200213002938 IA Practitioner - Orthopedic SurgeryPractitioner - Pediatric Medicine 5597794149 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.146988ILMDPediatric Orthopaedic Surgery Physician
59606MNMDPediatric Orthopaedic Surgery Physician
2018024524MOMDPediatric Orthopaedic Surgery Physician
13823NDMDPediatric Orthopaedic Surgery Physician
28649NEMDPediatric Orthopaedic Surgery Physician
9608SDMDPediatric Orthopaedic Surgery Physician
64158-20WIMDPediatric Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Iowa Hospital Corporation CurrentSince Jan 4, 2020 Accepting new patients
Central Iowa Hospital Corporation CurrentSince Jan 4, 2020 Accepting new patients
Central Iowa Hospital Corporation Current Accepting new patients
Cook Children's Physician Network CurrentSince Oct 1, 2007 Accepting new patients
Shriners Hospitals for Children CurrentSince Dec 1, 2018 Accepting new patients
Cook Children's Physician Network CurrentSince Oct 1, 2007 Accepting new patients
Orthopaedic Clinical Assoc Inc. Past Accepting new patients

Locations

1200 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5926

1206 Pleasant St
Fl 2
Des Moines, IA 50309
Phone (515) 241-6546

215 Radio Dr
Ste 100
Woodbury, MN 55125
Phone (612) 596-6100

209 N Bonnie Brae St
Ste 100
Denton, TX 76201
Phone (972) 539-0086

801 7th Ave
Ft Worth, TX 76104
Phone (682) 885-4054

136 El Chico Trl
Ste 102
Willow Park, TX 76087
Phone (817) 441-5412

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1659566479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 RADIO DRIVE",
            "address_2": "SUITE 100",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551253604",
            "telephone_number": "612-596-6100",
            "fax_number": "612-339-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 RADIO DRIVE",
            "address_2": "SUITE 100",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551255817",
            "telephone_number": "612-596-6100",
            "fax_number": "612-339-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARA",
        "first_name": "CHRISTOPHER",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-14",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "MN",
            "license": "59606",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "ND",
            "license": "13823",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "IL",
            "license": "036.146988",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "MO",
            "license": "2018024524",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "NE",
            "license": "28649",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "SD",
            "license": "9608",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "TX",
            "license": "M8401",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "WI",
            "license": "64158-20",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "IA",
            "license": "MD-42802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189140001",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

Verify at the official NPI Registry.