Kiran Shashi Devaraj, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

20600 Issued in WV

Practice address

1520 Kanawha Blvd E
Charleston, WV 25311-2413

Phone

(681) 265-9047

Fax

(681) 265-9208

NPI assigned

Apr 5, 2006

Last updated

Dec 20, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV, KY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

PsychiatryAlso: Neurology

Education

Other, 1993

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Psi Med IncGroup PAC ID 9335199843, 8 clinicians

Infinity Center LLCGroup PAC ID 8820322092, 3 clinicians

Devaraj Behavioral Healthcare PLLCGroup PAC ID 9234565649, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Psimed, Inc.

  • Psychiatry Physician
  • Morgantown, WV
  • NPI 1932444221
  Medicare reassignment Care Compare group NPD
• Devaraj Behavioral Healthcare PLLC

  • Psychiatry Physician
  • Charleston, WV
  • NPI 1093362840
  Medicare reassignment Care Compare group
• Infinity Center LLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Ashland, KY
  • NPI 1093119539
  Medicare reassignment Care Compare group
• Recovery Resource Group

  • Community/Behavioral Health Agency
  • Huntington, WV
  • NPI 1669066858
  Medicare reassignment NPD
• Summit BHC West Virginia, LLC

  dba Highland Physicians Group

  • Psychiatry Physician
  • Charleston, WV
  • NPI 1801411905
  Medicare reassignment NPD
• Healthpath Medical & Psychiatric Care LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Charleston, WV
  • NPI 1609645670
  Medicare reassignment
• Summit BHC West Virginia LLC

  dba Highland Hospital

  • Psychiatric Hospital
  • Charleston, WV
  • NPI 1427672336
  NPD
• Jason a. Moore, D.C. PLLC

  dba Huntington Chiropractic Accident & Injury Clinic

  • Health Service Clinic/Center
  • Huntington, WV
  • NPI 1316168271
  NPD (past)
• Links LLC

  • Psychiatry Physician
  • Saint Albans, WV
  • NPI 1265816599
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1003878984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 KANAWHA BLVD E",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253112413",
            "telephone_number": "681-265-9047",
            "fax_number": "681-265-9208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 KANAWHA BLVD E",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253112413",
            "telephone_number": "681-265-9047",
            "fax_number": "681-265-9208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVARAJ",
        "first_name": "KIRAN",
        "middle_name": "SHASHI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WV",
            "license": "20600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jubilee Desmond
• Wanda Mae Dettinger, LPC LSW
• Priyanka Devabhaktuni, DO
• Devaraj Behavioral Healthcare PLLC
• Devaraj Behavioral Healthcare PLLC
• Elissa Devitt
• Shelby Dewees
• Terri Deweese
• Trenton Deweese
• Tricia L. Dexter, PT

• Psychiatry Physician in Charleston, WV
• Providers in Charleston, WV by specialty
• Psychiatry Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.