Active NPI
Christopher S Vara, MD
- Pediatric Orthopaedic Surgery Physician
- Woodbury, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Orthopaedic Surgery Physician
- License
- MD-42802
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 189140001 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, MN, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.146988 | IL | MD | Pediatric Orthopaedic Surgery Physician |
| 59606 | MN | MD | Pediatric Orthopaedic Surgery Physician |
| 2018024524 | MO | MD | Pediatric Orthopaedic Surgery Physician |
| 13823 | ND | MD | Pediatric Orthopaedic Surgery Physician |
| 28649 | NE | MD | Pediatric Orthopaedic Surgery Physician |
| 9608 | SD | MD | Pediatric Orthopaedic Surgery Physician |
| 64158-20 | WI | MD | Pediatric Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Iowa Hospital Corporation | Current | Accepting new patients | |
| Central Iowa Hospital Corporation | Current | Accepting new patients | |
| Central Iowa Hospital Corporation | Current | Accepting new patients | |
| Cook Children's Physician Network | Current | Accepting new patients | |
| Shriners Hospitals for Children | Current | Accepting new patients | |
| Cook Children's Physician Network | Current | 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.
-
dba Shriners Children's
- Rehabilitation Clinic/Center
- Woodbury, MN
- NPI 1285250977
-
dba East Des Moines Family Care Center
- Family Medicine Physician
- Des Moines, IA
- NPI 1104879576
-
- Pediatrics Physician
- Fort Worth, TX
- NPI 1750369203
-
dba IMMC Outpatient Pharmacy
- Pharmacy
- Des Moines, IA
- NPI 1003352949
-
dba Blank Health Providers
- Pediatrics Physician
- Des Moines, IA
- NPI 1144309188
-
- Pediatrics Physician
- Fort Worth, TX
- NPI 1083472062
-
- Specialist
- Roxbury Crossing, MA
- NPI 1578528949
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.