Individual provider Active NPI

Bhargav Thangali Varadaraju, MD

  • Hospitalist Physician
  • Fayetteville, AR
National Provider Identifier
1982859351
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
E 6225 Issued in AR
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
178569001MedicaidAR
200260650AMedicaidOK

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090827000642 AR Practitioner - Internal Medicine 0941355911 Reassigns benefits to 4 organizations
Practice locations: Fayetteville, AR

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

LicenseStateTypeSpecialty
E6225ARMDInternal Medicine Physician
E 6225ARMDHospitalist Physician
MT187633PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Physicians LLC Hospitalist CurrentSince Mar 16, 2013 Accepting new patients
Northwest Physicians LLC CurrentSince Mar 15, 2012 Accepting new patients
Northwest Physicians LLC CurrentSince Mar 15, 2012 Accepting new patients
Mercy Health Northwest Arkansas Communities Hospitalist CurrentSince Jan 21, 2022 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Jan 21, 2022 Accepting new patients
Northwest Benton County Physician Services LLC CurrentSince Mar 15, 2012 Accepting new patients
Candor Clinicians PA PastSince Feb 13, 2022 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.

Hospital & facility affiliations 2

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

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": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.