VARON CANTRELL MD
NPI 1750500070
Internal Medicine in Indianapolis, IN
NPI Status: Active since April 25, 2007
Contact Information
1522 W MORRIS ST
INDIANAPOLIS, IN
ZIP 46221
Phone: (317) 488-2020
Fax: (317) 488-2031
- Individual
- Male
- Years of Experience 21
- Internal Medicine
- Accepts Insurance
- May Accept Medicare Approved Payment
- PECOS Enrolled
About VARON CANTRELL
This page provides the complete NPI Profile along with additional information for Varon Cantrell, an internist established in Indianapolis, Indiana with a medical specialization in Internal Medicine and more than 21 years of experience. He graduated from Indiana University School Of Medicine in 2005. The healthcare provider is registered in the NPI registry with number 1750500070 assigned on April 2007. The practitioner's primary taxonomy code is 207R00000X with license number 01067875A (IN). The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1750500070
- Provider Name
- VARON CANTRELL MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1522 W MORRIS ST INDIANAPOLIS, IN 46221
- Location Phone
- (317) 488-2020
- Location Fax
- (317) 488-2031
- Mailing Address
- 3401 E RAYMOND ST INDIANAPOLIS, IN 46203
- Mailing Phone
- (317) 788-9769
- Mailing Fax
- (317) 488-2031
- Medical School Name
- INDIANA UNIVERSITY SCHOOL OF MEDICINE
- Graduation Year
- 2005
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-25-2007
- Last Update Date
- 09-08-2011
- Code Navigator
An internist like Varon Cantrell is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 01067875A
- License State
- IN
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | 57010131 (OH) |
| 2 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | 01067875A (IN) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Central Bronze - HMO
- Central Bronze + Vision + Adult Dental - HMO
- Central Gold - HMO
- Central Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
- Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Essential 9200 (+ Incentives) - HMO
- Anthem Bronze Essential 9200 Adult Dental/Vision (+ Incentives) - HMO
- Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Essential 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Heart Healthy Silver Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Select Drugs - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200957170 | MEDICAID (05) | IN |
Medicare Participation & PECOS Enrollment Status
Varon Cantrell is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
Varon Cantrell is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 3173679248
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20100715000252
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 46221 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $122.49
- Minimum New Patient Price $53.07
- Maximum New Patient Price $161.76
- Average New Patient Copayment $30.62
- Minimum New Patient Copayment $13.26
- Maximum New Patient Copayment $40.44
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $94.22
- Minimum Established Patient Price $16.93
- Maximum Established Patient Price $132.22
- Average Established Patient Copayment $23.55
- Minimum Established Patient Copayment $4.23
- Maximum Established Patient Copayment $33.05
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 5 | 0 | 5 | 0 | 0 | 0 | 7 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 10 | 0 | 0 | 0 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 1 + 0 + 0 + 0 + 0 + 1 + 4 + 24 = 40 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1750500070 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 19 providers are registered at the same or nearby location.
KATHLEEN ANNE COHENOUR M.D.
Internal Medicine
1522 W MORRIS ST
INDIANAPOLIS, IN
ZIP 46221
RICHARD REIFENBERG M.D.
Internal Medicine
1522 W MORRIS ST
INDIANAPOLIS, IN
ZIP 46221
CARRIE BONSACK
Advanced Practice Midwife
1522 W MORRIS ST
INDIANAPOLIS, IN
ZIP 46221
DR. CHRISTEN M PRIBLE M.D.
Internal Medicine
1522 W MORRIS ST
INDIANAPOLIS, IN
ZIP 46221
EMILY YOUNG MD
Internal Medicine
1522 W MORRIS ST
INDIANAPOLIS, IN
ZIP 46221
LINDA GILMAN
Nurse Practitioner
(Pediatrics)
1522 W MORRIS ST
INDIANAPOLIS, IN
ZIP 46221
DR. ANNE V GORMLEY DDS
Dentist
1522 W MORRIS ST
INDIANAPOLIS, IN
ZIP 46221
ANGELA RENA WITZMANN CNS/APRN
Nurse Practitioner
(Psychiatric/Mental Health)
1522 W MORRIS ST
INDIANAPOLIS, IN
ZIP 46221
ROSHNI SHAH PHARM.D
Pharmacist
1522 W MORRIS ST
INDIANAPOLIS, IN
ZIP 46221
TRACY L MORRISON PMHNP
Nurse Practitioner
(Psychiatric/Mental Health)
1522 W MORRIS ST
INDIANAPOLIS, IN
ZIP 46221
ALEX M GEIGER MD, MPH
Internal Medicine
1522 W MORRIS ST
INDIANAPOLIS, IN
ZIP 46221
MELISSA PETERS NP
Nurse Practitioner
(Family)
1522 W MORRIS ST
INDIANAPOLIS, IN
ZIP 46221
SESHAGIRI RAO VEERAPANENI MD
Internal Medicine
1522 W MORRIS ST
INDIANAPOLIS, IN
ZIP 46221
CRYSTAL SHIRISH MEHTA D.O.
Psychiatry & Neurology
(Psychiatry)
1522 W MORRIS ST
INDIANAPOLIS, IN
ZIP 46221
KRISTEN JEAN BUNCH CNM
Advanced Practice Midwife
1522 W MORRIS ST
INDIANAPOLIS, IN
ZIP 46221
DR. JILLIAN ALBEE DDS
Dentist
1522 W MORRIS ST
INDIANAPOLIS, IN
ZIP 46221
MS. IRENE ANN MCCLUSKEY LCSW
Social Worker
(Clinical)
1522 W MORRIS ST
INDIANAPOLIS, IN
ZIP 46221
COREY J WILSON DMD
Dentist
(Pediatric Dentistry)
1522 W MORRIS ST
INDIANAPOLIS, IN
ZIP 46221
PETER L WIETHE MA, LMHC
Counselor
(Mental Health)
1522 W MORRIS ST
INDIANAPOLIS, IN
ZIP 46221
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750500070, enumerated as an "individual" on April 25, 2007.
The provider is located at 1522 W MORRIS ST INDIANAPOLIS, IN 46221 and the phone number is (317) 488-2020.
Internal Medicine with taxonomy code 207R00000X.
The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Ambetter. Please consult your insurance carrier or call the provider to verify.
