Individual provider Active NPI

Raja Gunturi Varma, MD

  • Cardiovascular Disease Physician
  • Patchogue, NY
National Provider Identifier
1699775759
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
232713 Issued in NY
Practice address
73 S Ocean Ave Ste C
Patchogue, NY 11772-3702
Phone
(631) 627-8700
Fax
(631) 627-8707
NPI assigned
Jul 29, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 232713 NY Primary

Addresses

Primary practice location

73 S Ocean Ave Ste C
Patchogue, NY 11772-3702

Mailing address

73 S Ocean Ave
Patchogue, NY 11772-3702
Phone (631) 627-8700

Other identifiers 1

IdentifierTypeStateIssuer
02587204MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20041028000276 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Nuclear Medicine 1254393622 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Nuclear Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Suffolk Cardiac Care, PLLCGroup PAC ID 6901071638, 2 clinicians

Practice addresses (Care Compare)

285 Sills Rd
12C
East Patchogue, NY 11772-4852
Phone (631) 627-8700

73 S Ocean Ave
Patchogue, NY 11772-3702
Phone (631) 627-8700

Hospital & facility affiliations

  • Tender Loving Care, an Amedisys Company Home health agency, Medford, NY, CCN 337260
  • Long Island Community Hospital Hospital, Patchogue, NY, CCN 330141

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
99.45
Improvement activities
40
Cost
68.39

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brookhaven Memorial Hospital Medical Center, Inc. CurrentSince Oct 6, 2011 Accepting new patients
Brookhaven Memorial Hospital Medical Center, Inc. Current Accepting new patients
Long Island Community Hospital at NYU Langone Health CurrentSince Oct 6, 2011 Accepting new patients
New York University Cardiovascular Disease CurrentSince Jan 5, 2023 Accepting new patients
Suffolk Cardiac Care PLLC Cardiovascular Disease CurrentSince Nov 1, 2011 Accepting new patients
New York University Cardiovascular Disease CurrentSince Jan 5, 2023 Accepting new patients
Peninsula Medical Services PC Past Accepting new patients

Locations

110 Beaver Dam Rd
Brookhaven, NY 11719
Phone (516) 589-4496

285 Sills Rd
Bldg 12C
East Patchogue, NY 11772
Phone (631) 627-8700

801 Gazzola Dr
East Patchogue, NY 11772
Phone (631) 447-8800

259 1st St
Rm 291
Mineola, NY 11501
Phone (516) 663-8693

222 E 41st St
Fl 22
New York, NY 10017
Phone (212) 263-7552

73 S Ocean Ave
Ste C
Patchogue, NY 11772
Phone (631) 627-8700

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

73 S Ocean Ave
Patchogue, NY 11772
Phone (631) 207-2100

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

300 Broadway Ave
Sayville, NY 11782
Phone (631) 300-0079

701 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 366-3140

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GHJIBA

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.

Hospital & facility affiliations 3

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": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1699775759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 S OCEAN AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723702",
            "telephone_number": "631-627-8700",
            "fax_number": "631-627-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 S OCEAN AVE STE C",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723702",
            "telephone_number": "631-627-8700",
            "fax_number": "631-627-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARMA",
        "first_name": "RAJA",
        "middle_name": "GUNTURI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "232713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02587204",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Patchogue, NY

Sources for this page

Verify at the official NPI Registry.