Active NPI
Bhargav Thangali Varadaraju, MD
- Hospitalist Physician
- Fayetteville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- E 6225
- Practice address
- 153 E Monte Painter Dr
Fayetteville, AR 72703-4002 - Phone
- (479) 601-2314
- Fax
- (888) 664-5545
- NPI assigned
- Nov 26, 2008
- Last updated
- Feb 11, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MT187633 | PA | |
| Internal Medicine Physician | 207R00000X | E6225 | AR | |
| Hospitalist Physician | 208M00000X | E 6225 | AR | Primary |
Addresses
Primary practice location
153 E Monte Painter Dr
Fayetteville, AR 72703-4002
Mailing address
PO Box 3126
Bentonville, AR 72712-7711
Phone (479) 601-2314
Other practice location 1
609 W Maple Ave
Springdale, AR 72764-5335
Phone (479) 757-5282
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 178569001 | Medicaid | AR | |
| 200260650A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2710 S Rife Medical LN
Rogers, AR 72758-1452
Phone (479) 338-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E6225 | AR | MD | Internal Medicine Physician |
| E 6225 | AR | MD | Hospitalist Physician |
| MT187633 | PA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prime Physicians LLC | Hospitalist | Current | Accepting new patients |
| Northwest Physicians LLC | Current | Accepting new patients | |
| Northwest Physicians LLC | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Hospitalist | Current | Accepting new patients |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Northwest Benton County Physician Services LLC | Current | Accepting new patients | |
| Candor Clinicians PA | Past | Accepting new patients | |
| Mercy Hospital Rogers | Past | Accepting new patients |
Locations
3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100
101 Sun Meadow Dr
Centerton, AR 72719
Phone (479) 273-1426
1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980
2710 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-8000
601 W Maple Ave
Ste 403
Springdale, AR 72764
Phone (479) 750-2742
601 W Maple Ave
Ste 704
Springdale, AR 72764
Phone (479) 521-2752
609 W Maple Ave
Springdale, AR 72764
Phone (479) 751-5711
Organizations & group practices 8
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.
-
- Hospitalist Physician
- Rogers, AR
- NPI 1699076737
-
- Family Medicine Physician
- Bentonville, AR
- NPI 1871553073
-
- Obstetrics Physician
- Springdale, AR
- NPI 1194768721
-
- Endocrinology, Diabetes & Metabolism Physician
- Rogers, AR
- NPI 1770087371
-
- Durable Medical Equipment & Medical Supplies
- Springdale, AR
- NPI 1205137536
-
- Specialist
- Fayetteville, AR
- NPI 1083380372
-
dba Mercy Hospital Northwest Arkansas
- General Acute Care Hospital
- Rogers, AR
- NPI 1316902414
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Berryville, AR
- NPI 1457306326
-
dba Mercy Hospital Northwest Arkansas
- General Acute Care Hospital
- Rogers, AR
- NPI 1316902414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644537600000",
"number": "1982859351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3126",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727127711",
"telephone_number": "479-601-2314",
"fax_number": "888-664-5545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 E MONTE PAINTER DR",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034002",
"telephone_number": "479-601-2314",
"fax_number": "888-664-5545"
}
],
"practiceLocations": [
{
"address_1": "609 W Maple Ave",
"address_purpose": "LOCATION",
"city": "Springdale",
"state": "AR",
"postal_code": "727645335",
"country_code": "US",
"telephone_number": "479-757-5282",
"fax_number": "479-757-2977",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THANGALI VARADARAJU",
"first_name": "BHARGAV",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-26",
"last_updated": "2022-02-11",
"certification_date": "2022-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PA",
"license": "MT187633",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AR",
"license": "E6225",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "AR",
"license": "E 6225",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "178569001",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200260650A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
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- Texarkana Behavioral Associates, L.C. (Vantage Point of Northwest Arkansas)
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- Mecee Thao
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.