Active NPI
Easwaran Puthukode Variyam, M.D.
- Gastroenterology Physician
- Galveston, TX
National Provider Identifier
1750370995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- L7612
- Practice address
- 301 University Blvd
Galveston, TX 77555-0764 - Phone
- (409) 772-1501
- Fax
- (409) 772-4789
- NPI assigned
- Oct 20, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 67416 | WI | |
| Gastroenterology Physician | 207RG0100X | L7612 | TX | Primary |
Addresses
Primary practice location
301 University Blvd
Galveston, TX 77555-0764
Mailing address
301 University Blvd
Galveston, TX 77555-0764
Phone (409) 772-1501
Other practice location 1
1836 South Ave
LA Crosse, WI 54601-5429
Phone (608) 782-7300
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041857601 | Medicaid | TX | |
| 20125905 | Other | TX | DPS |
| 84341Z | Other | TX | HMO BLUE |
| A032 | Other | NM | TRIWEST |
| 041857602 | Medicaid | TX | |
| 64117 | Medicaid | NM | |
| 64117 | Other | NM | PRESBYTERIAN COMMERICAL |
| 8A3060 | Other | TX | BC/BS |
| 100219540A | Medicaid | OK | |
| 126029100 | Other | TX | FRISTCARE COMMERCIAL |
| 126029101 | Medicaid | TX | |
| 67386814 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Blossom St
Webster, TX 77598-4204
Phone (832) 632-6500
Hospital & facility affiliations
- University of Texas Medical Branch Galveston
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- evariyam283141@direct.emplifyhealth.org
- evariyammd5747@direct.utmb.edu
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.
-
- General Practice Physician
- Galveston, TX
- NPI 1942241146
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Galveston, TX
- NPI 1548226988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1750370995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 UNIVERSITY BLVD",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775550764",
"telephone_number": "409-772-1501",
"fax_number": "409-772-4789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 UNIVERSITY BLVD",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775550764",
"telephone_number": "409-772-1501",
"fax_number": "409-772-4789"
}
],
"practiceLocations": [
{
"address_1": "1836 South Ave",
"address_purpose": "LOCATION",
"city": "LA Crosse",
"state": "WI",
"postal_code": "546015429",
"country_code": "US",
"telephone_number": "608-782-7300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VARIYAM",
"first_name": "EASWARAN",
"middle_name": "PUTHUKODE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-20",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "WI",
"license": "67416",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "TX",
"license": "L7612",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "041857601",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DPS",
"identifier": "20125905",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMO BLUE",
"identifier": "84341Z",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIWEST",
"identifier": "A032",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "041857602",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64117",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESBYTERIAN COMMERICAL",
"identifier": "64117",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "8A3060",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100219540A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FRISTCARE COMMERCIAL",
"identifier": "126029100",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "126029101",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "67386814",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Galveston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.