Active NPI
Amaresh B Khandat, M.D.
- Psychiatry Physician
- Petersburg, VA
National Provider Identifier
1386695328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0101237379
- Practice address
- 20 W Bank St
Suite 7
Petersburg, VA 23803-3279 - Phone
- (804) 862-8002
- Fax
- (804) 863-1665
- NPI assigned
- May 15, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0101237379 | VA | Primary |
Addresses
Primary practice location
20 W Bank St
Suite 7
Petersburg, VA 23803-3279
Mailing address
506 Battista CT
#303
Chester, VA 23836-2545
Phone (804) 415-1156
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 189407 | Medicaid | VA | |
| 189398 | Medicaid | VA | |
| 189404 | Medicaid | VA | |
| O88475M | Medicaid | VA | |
| 189402 | Medicaid | VA | |
| 189406 | Medicaid | VA | |
| 189408 | Medicaid | VA | |
| O88057M | Medicaid | VA | |
| 189399 | Medicaid | VA | |
| 189401 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| District 19 Community Services Board | Past | Accepting new patients | |
| District 19 Community Services Board | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Petersburg, VA
- NPI 1225094451
-
- Early Intervention Provider Agency
- Petersburg, VA
- NPI 1669970646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1386695328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 BATTISTA CT",
"address_2": "#303",
"city": "CHESTER",
"state": "VA",
"postal_code": "238362545",
"telephone_number": "804-415-1156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 W BANK ST",
"address_2": "SUITE 7",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "238033279",
"telephone_number": "804-862-8002",
"fax_number": "804-863-1665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHANDAT",
"first_name": "AMARESH",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101237379",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "189407",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "189398",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "189404",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "O88475M",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "189402",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "189406",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "189408",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "O88057M",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "189399",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "189401",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Petersburg, VA
- Ahmed Abdul Hafeez Kardar, M.D.
- Khaled Katmeh, DDS
- Kbird Transportation LLC
- Kimberly A Ketter, AGNP-C
- Khalid Khan, M.D.
- Shamas Chungez Kiani, M.D.
- Jackson Allen Kicklighter, PHARMD, MHA, BCMTMS
- Kim Dawkins (Commonwealth Care Transportation Services)
- Suel Peter Kim, MD
- Kimberly K Jones - Karisma Consulting
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.