Individual provider Active NPI

Shalini Varma, MD

  • Psychiatry Physician
  • Kenosha, WI
National Provider Identifier
1760648406
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MT4114 Issued in IL
Practice address
7400 60TH Ave Ste B
Kenosha, WI 53142-3545
Phone
(224) 632-8900
Fax
(888) 737-4070
NPI assigned
Aug 1, 2008
Last updated
Apr 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MT4114 IL Primary
Psychiatry Physician 2084P0800X 52853 WI

Addresses

Primary practice location

7400 60TH Ave Ste B
Kenosha, WI 53142-3545

Mailing address

7400 60TH Ave Ste B
Kenosha, WI 53142-3545
Phone (224) 632-8900

Other practice location 1

270 Center Dr Ste 200
Vernon Hills, IL 60061-1564
Phone (224) 632-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 4, 2017 through May 4, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT4114ILMDPsychiatry Physician
52853WIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shalini Varma MD Psychiatry PastSince May 4, 2025 Accepting new patients
County of Milwaukee Psychiatry Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1760648406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 60TH AVE STE B",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531423545",
            "telephone_number": "224-632-8900",
            "fax_number": "888-737-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 60TH AVE STE B",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531423545",
            "telephone_number": "224-632-8900",
            "fax_number": "888-737-4070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "270 Center Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Vernon Hills",
            "state": "IL",
            "postal_code": "600611564",
            "country_code": "US",
            "telephone_number": "224-632-8900",
            "fax_number": "888-737-4070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARMA",
        "first_name": "SHALINI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-01",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "MT4114",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "52853",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

Verify at the official NPI Registry.