Individual provider Active NPI

Moni Baidya

  • Psychiatry Physician
  • Lynchburg, VA
National Provider Identifier
1174767602
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101254773 Issued in VA
Practice address
3300 Rivermont Ave
Lynchburg, VA 24503-2030
Phone
(434) 200-5999
NPI assigned
Apr 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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 0101254773 VA Primary

Addresses

Primary practice location

3300 Rivermont Ave
Lynchburg, VA 24503-2030

Mailing address

113 Pleasant Valley Dr
Ste 210
Boerne, TX 78006-5683
Phone (830) 267-4575

Other practice location 1

8026 Floyd Curl Dr
San Antonio, TX 78229-3915
Phone (210) 575-8490

Other practice location 2

311 Camden St Ste 510
San Antonio, TX 78215-2015
Phone (210) 591-1615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NY2 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
I20170905001738 TX Practitioner - PsychiatryPractitioner - NeurologyPractitioner - Geriatric Psychiatry 1557590932 Reassigns benefits to 3 organizations
I20200214000474 NY Practitioner - Psychiatry 1557590932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neurology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCCD FL Psychiatry Services PAGroup PAC ID 4880064070, 751 clinicians

Practice addresses (Care Compare)

1400 N Coit Rd
Talkiatry Suite 302
McKinney, TX 75071-6656
Phone (917) 634-5311

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101254773VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCCD Psychiatry Services PLLC Psychiatry CurrentSince Mar 1, 2022 Accepting new patients
Permian Basin Community Centers for Mental Health & Mental Retardation Psychiatry Current Accepting new patients
MCCD FL Psychiatry Services PA Psychiatry CurrentSince Jan 1, 2023 Accepting new patients
Permian Basin Community Centers for Mental Health & Mental Retardation Psychiatry CurrentSince Sep 1, 2021 Accepting new patients

Locations

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

109 W 27th St
#55
New York, NY 10001

1400 N Coit Rd
Ste 302
McKinney, TX 75071
Phone (214) 504-3005

401 E Illinois Ave
Ste 100
Midland, TX 79701
Phone (432) 570-3300

401 E Illinois Ave
Ste 300
Midland, TX 79701
Phone (432) 570-3342

600 N Grant Ave
Odessa, TX 79761
Phone (432) 335-8275

Organizations & group practices 4

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": "1240876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1174767602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 PLEASANT VALLEY DR",
            "address_2": "STE 210",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780065683",
            "telephone_number": "830-267-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 RIVERMONT AVE",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245032030",
            "telephone_number": "434-200-5999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8026 Floyd Curl Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293915",
            "country_code": "US",
            "telephone_number": "210-575-8490",
            "fax_number": "210-575-8127",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "311 Camden St Ste 510",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782152015",
            "country_code": "US",
            "telephone_number": "210-591-1615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAIDYA",
        "first_name": "MONI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-28",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101254773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.