Physician Compare National (NPI:1598920225)

HEALTHCARE PROVIDER: SIDDHARTHA 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	1598920225
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9931348687
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160809001391
	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	SIDDHARTHA
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2007
	Individual professional's medical school graduation year
Primary Specialty	NEUROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	NEUROPSYCHIATRY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	NEUROPSYCHIATRY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER INC
	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	6507775293
	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	49
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	8200 MEADOWBRIDGE RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 306
	Group Practice or individual's line 2 address
City	MECHANICSVILLE
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	231162337
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8047641253
	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	490069
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	490032
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MEDICAL COLLEGE OF VIRGINIA HOSPITALS
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y