Individual provider Active NPI

Smitha Mary Varkey, PA-C

  • Physician Assistant
  • Lansing, MI
National Provider Identifier
1861910812
Registry record updated Aug 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601008324 Issued in MI
Practice address
505 N Clippert St
Lansing, MI 48912-4701
Phone
(517) 999-2273
NPI assigned
Aug 30, 2017
Last updated
Aug 30, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601008324 MI Primary

Addresses

Primary practice location

505 N Clippert St
Lansing, MI 48912-4701

Mailing address

4762 Arapaho TRL
Okemos, MI 48864-1402
Phone (517) 802-7152

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170925001339 MI Practitioner - Physician Assistant 7416221833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Citypulse Urgent Care PLLCGroup PAC ID 1355679481, 2 clinicians

Practice addresses (Care Compare)

11921 Fulton St E
Suite B
Lowell, MI 49331-8613
Phone (616) 591-5995

1618 Leonard St NE
Grand Rapids, MI 49505-6438
Phone (616) 591-5995

6460 28TH St SE
Grand Rapids, MI 49546-6918

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
VR Therapy and Counseling Center, LLC PastSince Dec 20, 2015 Accepting new patients
Lansing Urgent Care, PLC Past Accepting new patients

Organizations & group practices 3

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": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504051200000",
    "number": "1861910812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4762 ARAPAHO TRL",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488641402",
            "telephone_number": "517-802-7152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N CLIPPERT ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489124701",
            "telephone_number": "517-999-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARKEY",
        "first_name": "SMITHA",
        "middle_name": "MARY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-30",
        "last_updated": "2017-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601008324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.