Active NPI
Pninit Varol, M.D.
- Internal Medicine Physician
- Port Orchard, WA
National Provider Identifier
1952390734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD00048439
- Practice address
- 450 S Kitsap Blvd Ste 100
Port Orchard, WA 98366-3709 - Phone
- (360) 744-6275
- Fax
- (360) 744-6270
- NPI assigned
- Oct 14, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 01054783A | IN | |
| Internal Medicine Physician | 207R00000X | 01054783A | IN | |
| Internal Medicine Physician | 207R00000X | MD00048439 | WA | Primary |
Addresses
Primary practice location
450 S Kitsap Blvd Ste 100
Port Orchard, WA 98366-3709
Mailing address
3715 NE Trout Brook LN
Bremerton, WA 98311-8203
Other practice location 1
3715 NE Trout Brook Ln
Bremerton, WA 98311-8203
Phone (360) 434-0338
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200466040 | Medicaid | IN |
Other names 1
- Pninit Varol Eagan
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pvarol61714@fhsce.catholichealth.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250213002053 | WA | Order and Referring Only - Internal Medicine | 4082690581 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01054783A | IN | MD | Pediatrics Physician |
Interoperability endpoints
- pvarol61714@fhsce.catholichealth.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654732800000",
"number": "1952390734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3715 NE TROUT BROOK LN",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983118203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 S KITSAP BLVD STE 100",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983663709",
"telephone_number": "360-744-6275",
"fax_number": "360-744-6270"
}
],
"practiceLocations": [
{
"address_1": "3715 NE Trout Brook Ln",
"address_purpose": "LOCATION",
"city": "Bremerton",
"state": "WA",
"postal_code": "983118203",
"country_code": "US",
"telephone_number": "360-434-0338",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAROL",
"first_name": "PNINIT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-14",
"last_updated": "2022-06-09",
"certification_date": "2022-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "01054783A",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01054783A",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD00048439",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200466040",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pvarol61714@fhsce.catholichealth.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "450 S Kitsap Blvd Ste 100",
"city": "Port Orchard",
"state": "WA",
"country_code": "US",
"postal_code": "983663709",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "PNINIT",
"last_name": "EAGAN",
"middle_name": "VAROL",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Port Orchard, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.