Individual provider Active NPI

Varun Katdare

  • Emergency Medicine Physician
  • New York, NY
National Provider Identifier
1679967525
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MA11300000 Issued in NJ
Practice address
1 Gustave L. Place
New York, NY 10029
Phone
(212) 241-6500
NPI assigned
Mar 27, 2015
Last updated
Jun 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 300108 NY
Emergency Medicine Physician 207P00000X 25MA11300000 NJ Primary

Addresses

Primary practice location

1 Gustave L. Place
New York, NY 10029

Mailing address

1 Gustave L. Place
Box 1149
New York, NY 10029

Other identifiers 1

IdentifierTypeStateIssuer
0816817MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20190725000614 NY Practitioner - Emergency Medicine 1850637927 Reassigns benefits to 2 organizations
I20211111000748 NJ Practitioner - Emergency Medicine 1850637927 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Emory University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Middlesex Emergency Physicians, P.a.Group PAC ID 9931002854, 41 clinicians

Practice addresses (Care Compare)

65 James St
Edison, NJ 08818-3903
Phone (732) 321-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
63.71 of 100Reported as individual
Quality
39.33
Improvement activities
40
Cost
62.62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
300108NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physician Services of New York, P.C. Emergency Medicine CurrentSince May 1, 2020 Accepting new patients
Buffalo Emergency Associates LLP Emergency Medicine CurrentSince Jul 10, 2019 Accepting new patients
Plainfield Emergency Physicians, PA Emergency Medicine CurrentSince Mar 1, 2022 Accepting new patients
Middlesex Emergency Physicians, P.a. Emergency Medicine CurrentSince Dec 1, 2021 Accepting new patients

Locations

65 James St
Edison, NJ 08820
Phone (732) 321-7010

565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000

2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315

214 King St
Ogdensburg, NY 13669
Phone (315) 713-5660

3669 Southwestern Blvd
Orchard Park, NY 14127
Phone (716) 662-0500

2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1679967525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GUSTAVE L. PLACE",
            "address_2": "BOX 1149",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GUSTAVE L. PLACE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10029",
            "telephone_number": "212-241-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATDARE",
        "first_name": "VARUN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-27",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "300108",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA11300000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0816817",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.