Individual provider Active NPI

Jagadamba Pandit, MD

  • Psychiatry Physician
  • Covington, VA
National Provider Identifier
1154582369
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101252254 Issued in VA
Practice address
311 S Monroe Ave
Covington, VA 24426-1635
Phone
(540) 965-2100
Fax
(540) 965-2105
NPI assigned
Jun 19, 2008
Last updated
Dec 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D86406 MD
Addiction Psychiatry Physician 2084P0802X 0101252254 VA
Psychiatry Physician 2084P0800X 0101252254 VA Primary

Addresses

Primary practice location

311 S Monroe Ave
Covington, VA 24426-1635

Mailing address

311 S Monroe Ave
Covington, VA 24426-1635
Phone (540) 965-2100

Other practice location 1

11116 Medical Campus Rd Ste 2989
Hagerstown, MD 21742-6710
Phone (301) 766-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140117001603 VA Practitioner - Psychiatry 6800030222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwestern Community Services BoardGroup PAC ID 2769371251, 15 clinicians

Practice addresses (Care Compare)

136 General Dr
Suite 300
Luray, VA 22835-5257
Phone (540) 743-4548

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101252254VAMDAddiction Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Community Services Board Psychiatry CurrentSince Sep 20, 2021 Accepting new patients
Northwestern Community Services Board PastSince Jul 24, 2022 Accepting new patients
Alleghany Highlands Community Services PastSince Dec 12, 2013 Accepting new patients

Locations

309 W Main St
Berryville, VA 22611
Phone (540) 277-8080

209 W Criser Rd
Front Royal, VA 22630
Phone (540) 636-2931

209 W Criser Rd
Ste 300
Front Royal, VA 22630
Phone (540) 636-4250

136 General Dr
Ste 300
Luray, VA 22835
Phone (540) 743-4548

158 Front Royal Pike
Ste 303
Winchester, VA 22602
Phone (540) 409-5254

170 Prosperity Dr
Winchester, VA 22602
Phone (540) 667-8888

441 N Main St
Woodstock, VA 22664
Phone (540) 459-4946

494 N Main St
Ste 300
Woodstock, VA 22664
Phone (540) 459-5180

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1154582369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 S MONROE AVE",
            "city": "COVINGTON",
            "state": "VA",
            "postal_code": "244261635",
            "telephone_number": "540-965-2100",
            "fax_number": "540-965-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S MONROE AVE",
            "city": "COVINGTON",
            "state": "VA",
            "postal_code": "244261635",
            "telephone_number": "540-965-2100",
            "fax_number": "540-965-2105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11116 Medical Campus Rd Ste 2989",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217426710",
            "country_code": "US",
            "telephone_number": "301-766-7600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANDIT",
        "first_name": "JAGADAMBA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-19",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D86406",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "VA",
            "license": "0101252254",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101252254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, VA

Sources for this page

Verify at the official NPI Registry.