Nicholas Varallo, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

140206 Issued in NY

Practice address

670 Davison Road
Lockport, NY 14094-5338

Phone

(716) 433-5454

Fax

(716) 478-0488

NPI assigned

Jul 27, 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 6

Medicare fee-for-service enrollment

Enrolled in NY, MI, IL, OH4 enrollments

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 4

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Kenmore Mercy Hospital

  • General Acute Care Hospital
  • Kenmore, NY
  • NPI 1770598104
  Medicare reassignment NPD
• Keystone Medical Services of New York, PC

  • Emergency Medicine Physician
  • Springville, NY
  • NPI 1952331761
  Medicare reassignment NPD
• Mercy Hospital of Buffalo

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1164464921
  Medicare reassignment NPD
• Sisters of Charity Hospital of Buffalo New York

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1790727543
  Medicare reassignment NPD
• Hometown Urgent Care of Michigan, P.C.

  • Urgent Care Clinic/Center
  • Huber Heights, OH
  • NPI 1790030385

  MI

  Medicare reassignment NPD
• Physicians Immediate Care North Chicago LLC

  • Urgent Care Clinic/Center
  • Chicago, IL
  • NPI 1205814118
  Medicare reassignment NPD
• Pic Indiana PC

  • Urgent Care Clinic/Center
  • Mishawaka, IN
  • NPI 1942546890

  MI

  Medicare reassignment NPD
• Wellnow Urgent Care, PC

  • Urgent Care Clinic/Center
  • Liverpool, NY
  • NPI 1669825162

  IL

  Medicare reassignment
• Eastern Great Lakes Pathology PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Buffalo, NY
  • NPI 1467481564
  NPD
• Kenmore Mercy Hospital

  • Rehabilitation Hospital Unit
  • Kenmore, NY
  • NPI 1164436283
  NPD
• Kenmore Mercy Hospital

  • Pulmonary Disease Physician
  • Kenmore, NY
  • NPI 1659909752
  NPD
• Mercy Hospital of Buffalo

  • Skilled Nursing Facility
  • Buffalo, NY
  • NPI 1144262908
  NPD

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261526400000",
    "number": "1982628574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 DAVISON ROAD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140945338",
            "telephone_number": "716-433-5454",
            "fax_number": "716-478-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 DAVISON ROAD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140945338",
            "telephone_number": "716-433-5454",
            "fax_number": "716-478-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARALLO",
        "first_name": "NICHOLAS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2009-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "140206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "0105391",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00710949",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "743105555",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "000508489002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3493064",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00010182102",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenna Christine Van Dusen, DO
• Alicia Vanderwalker, FPA-C
• Jeremy Jensen Vanduluitgaarden
• Connor Vanko, PA
• Mark Varallo, MD
• Vigel Varkey, M.D.
• Village Pharmacy of Lockport, Inc.
• Krista Morie Vince Garland
• Lawrence E Volland, DDS
• Jennifer L. Vorholzer, L.M.T.

• Family Medicine Physician in Lockport, NY
• Providers in Lockport, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; 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.

Verify at the official NPI Registry.