Individual provider Active NPI

Sanket Rajaram Dhat, MD

  • Psychiatry Physician
  • Lynchburg, VA
National Provider Identifier
1164787701
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101259125 Issued in VA
Practice address
3300 Rivermont Ave
Lynchburg, VA 24503-1104
Phone
(434) 200-5999
NPI assigned
Jul 10, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0101259125 VA Primary

Addresses

Primary practice location

3300 Rivermont Ave
Lynchburg, VA 24503-1104

Mailing address

3300 Rivermont Ave
Lynchburg, VA 24503-1104
Phone (434) 200-5999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, WV2 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

Enrollment IDStateProvider typePAC IDDetails
I20160706001990 VA Practitioner - Psychiatry 6608014733 Reassigns benefits to 1 organization
I20230523003547 WV Practitioner - Psychiatry 6608014733

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Credence Behavioral Health PLLCGroup PAC ID 0345606224, 5 clinicians

Practice addresses (Care Compare)

115 Wiggington Rd
Lynchburg, VA 24502-4619
Phone (434) 247-0457

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101259125VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Credence Behavioral Health PLLC CurrentSince Apr 14, 2023 Accepting new patients
Cade Counseling and Consulting Past Accepting new patients
Kinetic Anesthesia Services Past Accepting new patients

Locations

115 Wiggington Rd
Lynchburg, VA 24502
Phone (434) 247-0457

Interoperability endpoints

  • Direct secure messaging: sanketdhat@cmgatc.allscriptsdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1164787701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 RIVERMONT AVE",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245031104",
            "telephone_number": "434-200-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 RIVERMONT AVE",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245031104",
            "telephone_number": "434-200-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHAT",
        "first_name": "SANKET",
        "middle_name": "RAJARAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-10",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101259125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.