Raghunandan Medavaram Varma, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MB070051 Issued in NJ

Practice address

7 Dolly Bridge Rd
Randolph, NJ 07869-3525

Phone

(973) 715-8025

Fax

(973) 895-5050

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Emergency Medicine

Education

Rowan University School of Osteopathic Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergency Associates of St Marys LLCGroup PAC ID 4183982663, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Mary'S General Hospital Hospital, Passaic, NJ, CCN 310006
• Saint Clare'S Hospital/ Denville Campus Hospital, Denville, NJ, CCN 310050

Merit-based Incentive Payment System (MIPS)

Final score

93.47 of 100Reported as group

Quality

87.79

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

95.32 of 100Reported as group

Quality

82.73

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Emergency Associates of St Marys LLC

  • Emergency Medicine Physician
  • Passaic, NJ
  • NPI 1477063329

  Emergency Medicine, NJ

  Medicare reassignment Care Compare group NPD
• Pinnacle Emergency Physicians Associates LLC

  • Emergency Medicine Physician
  • Denville, NJ
  • NPI 1508664871

  Emergency Medicine, NJ

  Medicare reassignment NPD
• Emergency Physicians of Saint Clares LLC

  • Emergency Medicine Physician
  • Denville, NJ
  • NPI 1366517856

  NJ

  Medicare reassignment
• Medical Associates of Englewood, PC

  • Internal Medicine Physician
  • Englewood, NJ
  • NPI 1952681918
  NPD (past)
• Riverside Medical Group

  • Nurse Practitioner
  • Secaucus, NJ
  • NPI 1053867598
  NPD (past)

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

• Prime Healthcare Services - Saint Clare'S LLC

  • General Acute Care Hospital
  • Denville, NJ
  • NPI 1598144362

  Hospital

  Care Compare affiliation
• Prime Healthcare Services - St. Mary'S Passaic LLC

  • General Acute Care Hospital
  • Passaic, NJ
  • NPI 1770901761

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214438400000",
    "number": "1851489231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DOLLY BRIDGE RD",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078693525",
            "telephone_number": "973-715-8025",
            "fax_number": "973-895-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 DOLLY BRIDGE RD",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078693525",
            "telephone_number": "973-715-8025",
            "fax_number": "973-895-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARMA",
        "first_name": "RAGHUNANDAN",
        "middle_name": "MEDAVARAM",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2008-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "MB070051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8185000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Damanpreet Ubhi, MD, BS
• Jaclyn Lauren Vairo, LPC
• Melanie Rouse Valentin-Torres, M.D.
• Mary Vanecek
• Kelly Vanwyck
• Michael Victor Venanzi, MD
• Luz Ventura-Polanco
• Vesur LLC
• Mario S Viegas
• Vkare Group LLC

• All providers in Randolph, NJ
• Emergency Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.

Verify at the official NPI Registry.