Physician Compare National (NPI:1043314362)

HEALTHCARE PROVIDER: VIVEK KUMAR VARMA M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1043314362
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4688632706
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200717000622
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	VARMA
	Individual professional last name
Provider First Name	VIVEK
	Individual professional first name
Provider Middle Name	K
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1985
	Individual professional's medical school graduation year
Primary Specialty	INTERVENTIONAL CARDIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	KEARNEY REGIONAL MEDICAL CENTER LLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	7517109408
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	51
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	816 22ND AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 100
	Group Practice or individual's line 2 address
City	KEARNEY
	Group Practice or individual's city
State	NE
	Group Practice or individual's state
Zip Code	688452226
	Group Practice or individual's zip code (9 digits when available)
Phone Number	30886522633210
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	210032
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	UNION HOSPITAL OF CECIL COUNTY
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	080003
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ST FRANCIS HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y