KETANKUMAR BODARYA MD
NPI 1831496165
Psychiatry & Neurology - Psychiatry in Hattiesburg, MS

Q: What is Ketankumar Bodarya's NPI number?

The NPI number for Ketankumar Bodarya is 1831496165. It was assigned to this individual provider in the NPPES registry on February 23, 2011.

Q: What is Ketankumar Bodarya's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since February 23, 2011PECOS EnrolledAccepts Medicare Assignment

2117 BROADWAY DRIVE, HATTIESBURG, MS 39402(601) 288-8050(601) 288-8058 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 13, 2025, May 25, 2021, Aug 20, 2020 and 1 more (4 updates tracked since 2016).

On this page

About Ketankumar Bodarya Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KETANKUMAR BODARYA MD (NPI 1831496165) is an individual psychiatry provider in Hattiesburg, Mississippi, licensed in North Carolina (2021-00515) and active in the NPI registry since February 2011. He is enrolled in Medicare PECOS, is affiliated with Novant Health Forsyth Medical Center, and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1831496165

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameKETANKUMAR BODARYACredential: MD

Location Address2117 BROADWAY DRIVEHattiesburg, MS 39402-3210

Mailing Address2117 Broadway DriveHattiesburg, MS 39402-3210 · (601) 288-8050 · Fax (601) 288-8058

Phone(601) 288-8050

Fax(601) 288-8058

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateFebruary 23, 2011

Last NPPES UpdateJune 13, 20254 updates tracked since enumeration

NPPES CertifiedMay 25, 2021

✔ NPI 1831496165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in NC · 2021-00515

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License 2021-00515 (NC), D0081182 (MD)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2117 BROADWAY DRIVE, Hattiesburg, MS 39402

Open in Google Maps ↗

Secondary Practice Location 1

Location 16501 N Charles StBaltimore, MD 21204-6819 · Phone (401) 938-3000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ketankumar Bodarya Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032409313

PECOS Enrollment IDI20210430001533

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340014

Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39402 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$159.18 typical visit price

range $51.65 – $159.18

Typical copayment $39.79 (range $12.91 – $39.79)

Most-billed visit code 99205

Established Patient

$64.96 typical visit price

range $16.15 – $129.61

Typical copayment $16.24 (range $4.03 – $32.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Leave this field empty

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ASHLEY HAYNES HOLFORD LCSW

Social Worker (Clinical)