Individual provider Active NPI

Pninit Varol, M.D.

  • Internal Medicine Physician
  • Port Orchard, WA
National Provider Identifier
1952390734
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD00048439 Issued in WA
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

Updated by the provider on Jun 9, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200466040MedicaidIN

Other names 1

  • Pninit Varol Eagan Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250213002053 WA Order and Referring Only - Internal MedicinePractitioner - Internal MedicinePractitioner - Addiction Medicine 4082690581

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01054783AINMDPediatrics Physician

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.