NPIMap

Individual provider Active NPI

Varun Samji

  • Endocrinology, Diabetes & Metabolism Physician
  • Elizabethtown, KY
National Provider Identifier
1902328826
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
57481 Issued in KY
Practice address
2410 Ring Rd Ste 500
Elizabethtown, KY 42701-7991
Phone
(502) 559-3636
Fax
(270) 769-0931
NPI assigned
Jul 12, 2017
Last updated
Aug 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 57481 KY
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 57481 KY Primary

Addresses

Primary practice location

2410 Ring Rd Ste 500
Elizabethtown, KY 42701-7991

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230913002122 KY Practitioner - EndocrinologyPractitioner - Internal Medicine 3375818644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

2410 Ring Rd
Suite 500
Elizabethtown, KY 42701-7991
Phone (502) 559-3636

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57481KYMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Community Medical Associates, Inc. Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
Community Medical Associates, Inc. Internal Medicine Past Accepting new patients

Locations

157 Towne Dr
Ste 102
Elizabethtown, KY 42701
Phone (502) 559-3636

2410 Ring Rd
Ste 500
Elizabethtown, KY 42701
Phone (270) 765-5900

210 E Gray St
Ste 605
Louisville, KY 40202
Phone (502) 559-3636

2355 Poplar Level Rd
Ste 301
Louisville, KY 40217
Phone (502) 559-3636

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

9880 Angies Way
Ste 420
Louisville, KY 40241
Phone (502) 394-6200

Interoperability endpoints

  • Direct secure messaging: vsamji270956@direct.nortonhealthcare.org

Organizations & group practices 4

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1902328826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 RING RD STE 500",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427017991",
            "telephone_number": "502-559-3636",
            "fax_number": "270-769-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMJI",
        "first_name": "VARUN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-12",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "57481",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "KY",
            "license": "57481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

Verify at the official NPI Registry.