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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. HETAL KANAIYALAL BRAHMBHATT M.D.
NPI 1841283199
Psychiatry & Neurology - Psychiatry in Johnson City, TN

Active since August 23, 2005PECOS EnrolledAccepts Medicare Assignment
159 SUN CHASE CT, JOHNSON CITY, TN 37615(423) 767-5444 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 29, 2026, Aug 13, 2026, Jan 15, 2026 and 7 more (10 updates tracked since 2017).

About Dr. Hetal Kanaiyalal Brahmbhatt M.d. NPPES

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

DR. HETAL KANAIYALAL BRAHMBHATT M.D. (NPI 1841283199) is an individual psychiatry provider in Johnson City, Tennessee, licensed in Tennessee (MD31821) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Presence Saint Joseph Hospital - Chicago, and maintains 10 additional practice locations.

NPPES Registry Identity

NPI1841283199
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. HETAL KANAIYALAL BRAHMBHATTCredential: M.D.
Location Address159 SUN CHASE CTJohnson City, TN 37615-5502
Mailing Address159 Sun Chase CtJohnson City, TN 37615-5502 · (423) 767-5444
Phone(423) 767-5444
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateAugust 23, 2005
Last NPPES UpdateSeptember 29, 202610 updates tracked since enumeration
NPPES CertifiedAugust 13, 2026
✔ NPI 1841283199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in TN · MD31821✔ Licensed in PA · MD487425C✔ Licensed in WV · 29546✔ Licensed in MT · MED-PHYS-LIC-81169✔ Licensed in IL · 036151625✔ Licensed in WI · 678
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 ListedInternal MedicineTaxonomy 207R00000X · License MD31821 (TN)
Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X · License 5315215826 (MI)
159 SUN CHASE CT, Johnson City, TN 37615
Open in Google Maps ↗

Secondary Practice Locations 10

Location 13400 S Washington RdSaginaw, MI 48601-4958 · Phone (989) 755-1072
Location 2515 22nd AveMonroe, WI 53566-1569 · Phone (608) 324-1000
Location 33410 Old Lansing RdLansing, MI 48917-4392 · Phone (517) 657-2980
Location 44318 Miller RdFlint, MI 48507-1267 · Phone (810) 249-9924
Location 51005 3rd StBay City, MI 48708-6012 · Phone (989) 778-1396
Location 61 Amalia DrBuckhannon, WV 26201-2239 · Phone (304) 473-2000
Location 7216 14th Ave SWSidney, MT 59270-3519 · Phone (406) 488-2100
Location 88212 N Jennings RdMount Morris, MI 48458-8248 · Phone (810) 687-5100
Location 9145 Irmc DrIndiana, PA 15701-3673 · Phone (724) 357-7404 · Fax (724) 357-7471
Location 101321 S Fayette StSaginaw, MI 48602-1447 · Phone (989) 792-8000

Other Identifiers 4

Medicaid1841283199VA
Medicaid3856024TN
Medicaid104486527PA
Other291123000TN · Magellan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Hetal Kanaiyalal Brahmbhatt M.d. 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 ID7012958580
PECOS Enrollment IDI20050513000792, I20211102001359, I20220804003876, I20260317001970
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.

Medicare Billing Reassignments

33

Medicare enrollment records show Hetal Brahmbhatt reassigns Medicare billing to 33 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Blue Ridge Medical Management Corporation
2.3 mi
Pediatrics
1021 W OAKLAND AVE STE 301
Johnson City, TN 37604
  • Reassigned Medicare billing, Tennessee enrollment
  • 496 clinicians in this Medicare group
NPI 1831979186 (423) 952-8000
Sbh-Kingsport
14 mi
Psychiatric Hospital
1025 EXECUTIVE PARK BLVD
Kingsport, TN 37660
  • Reassigned Medicare billing, Tennessee enrollment
  • 31 clinicians in this Medicare group
NPI 1174038749 (901) 969-3100
Henderson County Hospital Corporation
63 mi
Federally Qualified Health Center (FQHC)
2775 HENDERSONVILLE RD
Arden, NC 28704
  • Reassigned Medicare billing, North Carolina enrollment
  • 401 clinicians in this Medicare group
NPI 1619606316 (828) 694-8900
Knoxville Center For Behavioral Medicine LLC
93 mi
Psychiatric Hospital
1240 TENNOVA MEDICAL WAY
Knoxville, TN 37909
  • Reassigned Medicare billing, Tennessee enrollment
  • 39 clinicians in this Medicare group
NPI 1710640776 (615) 890-2020
Mcpc-11, LLC
186 mi
Adult Mental Health
42 MEMORIAL DR
Pinehurst, NC 28374
  • Reassigned Medicare billing, North Carolina enrollment
  • 53 clinicians in this Medicare group
NPI 1841635455 (910) 715-3376
Ccmma Sc LLC
205 mi
Critical Care Medicine
129 N WASHINGTON ST
Sumter, SC 29150
  • Reassigned Medicare billing, Tennessee enrollment
  • 2 clinicians in this Medicare group
NPI 1245715796 (803) 774-9000
Saint Thomas Medical Partners
244 mi
Clinical Neuropsychologist
2021 CHURCH ST, STE. 102
Nashville, TN 37203
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,304 clinicians in this Medicare group
NPI 1558506980 (615) 284-7555
Mindcare Solutions PC
245 mi
Psychiatry
3102 W END AVE STE 1150
Nashville, TN 37203
  • Reassigned Medicare billing, Georgia, Idaho and Utah enrollments
NPI 1457015091 (844) 291-4535
Hickman Community Health Careservices
275 mi
Rural Health
5047 HIGHWAY 100
Lyles, TN 37098
  • Reassigned Medicare billing, Tennessee enrollment
  • Medicare enrollment name: Saint Thomas Hickman Hospital
  • 86 clinicians in this Medicare group
NPI 1225049570 (931) 670-6525
Abs Lincs Ky, LLC
282 mi
Psychiatry
270 WALTON WAY
Hopkinsville, KY 42240
  • Reassigned Medicare billing, Kentucky enrollment
  • 27 clinicians in this Medicare group
NPI 1720353501 (270) 886-1919

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth G0425
A telehealth consultation is a remote medical service where a doctor assesses your health condition through a video call. In an emergency or initial inpatient scenario, this typically lasts for about 30 minutes. This method allows for prompt, efficient care without needing to be physically present in a healthcare facility.
56 services45 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
32 services30 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
23 services21 patients

Hospital Affiliations CMS Care Compare

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

Presence Saint Joseph Hospital - Chicago

Acute Care Hospitals · Chicago, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140224
Location2900 North Lake Shore DriveChicago, IL 60657 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37615 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
$160.89 typical visit price
range $52.64 – $160.89
Typical copayment $40.22 (range $13.16 – $40.22)
Most-billed visit code 99205
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hetal Brahmbhatt's NPI number?

The NPI number for Hetal Brahmbhatt is 1841283199. It was assigned to this individual provider in the NPPES registry on August 23, 2005.

Where is Hetal Brahmbhatt located?

Hetal Brahmbhatt practices at 159 Sun Chase Ct, Johnson City, TN 37615. The listed phone number is (423) 767-5444.

What is Hetal Brahmbhatt's specialty?

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

Is Hetal Brahmbhatt enrolled in Medicare?

Yes. Hetal Brahmbhatt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Hetal Brahmbhatt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hetal Brahmbhatt reassigns Medicare benefits to 33 organizations: Blue Ridge Medical Management Corporation (Johnson City, TN), Sbh-Kingsport (Kingsport, TN), Henderson County Hospital Corporation (Arden, NC), Knoxville Center For Behavioral Medicine LLC (Knoxville, TN), Mcpc-11, LLC (Pinehurst, NC) and 28 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hetal Brahmbhatt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hetal Brahmbhatt accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 5 other insurers list Hetal Brahmbhatt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Hetal Brahmbhatt affiliated with any hospitals?

According to CMS data, Hetal Brahmbhatt is affiliated with Presence Saint Joseph Hospital - Chicago.

When was this NPI record last updated?

The NPPES record for Hetal Brahmbhatt was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.