Active NPI
Hetal Kanaiyalal Brahmbhatt, M.D.
- Psychiatry Physician
- Johnson City, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD31821
- Practice address
- 159 Sun Chase CT
Johnson City, TN 37615-5502 - Phone
- (423) 767-5444
- NPI assigned
- Aug 23, 2005
- Last updated
- Sep 29, 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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD31821 | TN | |
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | 5315215826 | MI | |
| Psychiatry Physician | 2084P0800X | MD487425C | PA | |
| Psychiatry Physician | 2084P0800X | 29546 | WV | |
| Psychiatry Physician | 2084P0800X | MED-PHYS-LIC-81169 | MT | |
| Psychiatry Physician | 2084P0800X | MD31821 | TN | Primary |
| Psychiatry Physician | 2084P0800X | 036151625 | IL | |
| Psychiatry Physician | 2084P0800X | 678 | WI |
Addresses
Primary practice location
159 Sun Chase CT
Johnson City, TN 37615-5502
Mailing address
159 Sun Chase CT
Johnson City, TN 37615-5502
Phone (423) 767-5444
Other practice location 1
3400 S Washington Rd
Saginaw, MI 48601-4958
Phone (989) 755-1072
Other practice location 2
515 22nd Ave
Monroe, WI 53566-1569
Phone (608) 324-1000
Other practice location 3
3410 Old Lansing Rd
Lansing, MI 48917-4392
Phone (517) 657-2980
Other practice location 4
4318 Miller Rd
Flint, MI 48507-1267
Phone (810) 249-9924
Other practice location 5
1005 3rd St
Bay City, MI 48708-6012
Phone (989) 778-1396
Other practice location 6
1 Amalia Dr
Buckhannon, WV 26201-2239
Phone (304) 473-2000
Other practice location 7
216 14th Ave SW
Sidney, MT 59270-3519
Phone (406) 488-2100
Other practice location 8
8212 N Jennings Rd
Mount Morris, MI 48458-8248
Phone (810) 687-5100
Other practice location 9
145 Irmc Dr
Indiana, PA 15701-3673
Phone (724) 357-7404
Other practice location 10
1321 S Fayette St
Saginaw, MI 48602-1447
Phone (989) 792-8000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841283199 | Medicaid | VA | |
| 104486527 | Medicaid | PA | |
| 3856024 | Medicaid | TN | |
| 291123000 | Other | TN | MAGELLAN |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://webproxyprd.monroeclinic.org/FHIR-PRD/api/FHIR/DSTU2/ | Other | |
| CONNECT URL | Clinton | Health Information Exchange (HIE) | |
| Direct Messaging Address | hbrahmbhatt418369@direct-ehr-ssmhc.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, NC, MI, NV, AZ, WY, IL, WA, MN, WI, GA, CA, SC, NY, TX, PA, UT, FL, MD, KY, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 21
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Myrtle Beach, SC 29588
Phone (916) 865-4668
123 Upchurch LN
Elmwood, TN 38560-4135
Phone (916) 865-4668
159 Sun Chase CT
Johnson City, TN 37615-5502
Phone (916) 865-4668
2233 W Division St
Chicago, IL 60622-8151
Phone (312) 770-2000
270 Walton Way
Hopkinsville, KY 42240-6808
Phone (270) 886-1919
2900 N Lake Shore Dr
Chicago, IL 60657-5640
4445 Magnolia Ave
Riverside, CA 92501-4135
Phone (330) 536-3746
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036151625 | IL | MD | Psychiatry Physician |
| MED-PHYS-LIC-81169 | MT | MD | Psychiatry Physician |
| MD487425C | PA | MD | Psychiatry Physician |
| MD31821 | TN | MD | Psychiatry Physician |
| 29546 | WV | MD | Psychiatry Physician |
| 31821 | TN | MD | Family Nurse Practitioner |
Practice roles (60 of 61)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Telecare, PLLC | Internal Medicine | Current | Accepting new patients |
| Henderson County Hospital Corporation | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Presence Healthcare Services | Internal Medicine | Current | Accepting new patients |
| Veeone Medical Group II Professional Corporation | Internal Medicine | Current | Accepting new patients |
| Blue Ridge Medical Management Corporation | Internal Medicine | Current | Accepting new patients |
| Fairview Express Care | Current | Accepting new patients | |
| Virginia Mason Medical Center | Psychiatry | Current | Accepting new patients |
| Henry Ford Health System | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| SBH-Kingsport | Current | Accepting new patients | |
| Teladoc Health Medical Group, P.a. | Internal Medicine | Current | Accepting new patients |
| Ccmma SC LLC | Current | Accepting new patients | |
| Veeone Medical Group PA | Internal Medicine | Current | Accepting new patients |
| Martin Luther King Jr Community Medical Foundation | Current | Accepting new patients | |
| Martin Luther King Jr Community Medical Foundation | Internal Medicine | Current | Accepting new patients |
| King County Public Hospital District No. 2 | Current | Accepting new patients | |
| The Monroe Clinic, Inc. | Current | Accepting new patients | |
| Mindcare Solutions of Texas PA | Psychiatry | Current | Accepting new patients |
| Multicare Health System | Current | Accepting new patients | |
| Saint Thomas Medical Partners | Internal Medicine | Current | Accepting new patients |
| Mindcare Solutions PC | Psychiatry | Current | Accepting new patients |
| Henry Ford Health System | Psychiatry | Current | Accepting new patients |
| CGH Medical Center | Current | Accepting new patients | |
| Henderson County Hospital Corporation | Current | Accepting new patients | |
| Mindcare Solutions PC | Psychiatry | Current | Accepting new patients |
| Multicare Health System | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Internal Medicine | Current | Accepting new patients |
| W.a. Foote Memorial Hospital, Inc | Current | Accepting new patients | |
| Indiana Healthcare Physician Services Inc | Internal Medicine | Current | Accepting new patients |
| Multicare Health System | Current | Accepting new patients | |
| Bonaventure Medical Foundation, LLC | Current | Accepting new patients | |
| Indiana Healthcare Physician Services Inc | Current | Accepting new patients | |
| W.a. Foote Memorial Hospital | Current | Accepting new patients | |
| Tri-State Memorial Hospital | Internal Medicine | Current | Accepting new patients |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Knoxville Center for Behavioral Medicine LLC | Current | Accepting new patients | |
| Abs Lincs Ky, LLC | Psychiatry | Current | Accepting new patients |
| The Monroe Clinic, Inc. | Current | Accepting new patients | |
| Fairview Health Services | Internal Medicine | Current | Accepting new patients |
| SBH-Kingsport | Current | Accepting new patients | |
| King County Public Hospital District No 2 | Current | Accepting new patients | |
| Virginia Mason Medical Center | Current | Accepting new patients | |
| Tri-State Memorial Hospital | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| MCPC-11, LLC | Current | Accepting new patients | |
| CGH Medical Center | Current | Accepting new patients | |
| King County Public Hospital District No 2 | Current | Accepting new patients | |
| W.a. Foote Memorial Hospital, Inc | Psychiatry | Current | Accepting new patients |
| Presence Healthcare Services | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Mindcare Solutions PC | Psychiatry | Current | Accepting new patients |
| Floyd Physicians, LLC | Psychiatry | Current | Accepting new patients |
| Ccmma NJ LLC | Past | Accepting new patients | |
| Boysville of Michigan, Inc. | Past | Accepting new patients | |
| Acute Behavioral Health of Tennessee PC | Past | Accepting new patients | |
| Medical Education Assistance Corporation | Internal Medicine | Past | Accepting new patients |
| Frontier Health | Past | Accepting new patients |
Locations (25 of 54)
2215 W Rosecrans Ave
Ste 22
Compton, CA 90222
Phone (424) 529-6755
12021 Wilmington Ave
Ste 1000
Los Angeles, CA 90059
Phone (424) 529-6577
1420 E Roseville Pkwy
Ste 140519
Roseville, CA 95661
304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000
420 E 2nd Ave
Ste 103
Rome, GA 30161
Phone (706) 509-3278
1001 Pennsylvania Ave
Ottumwa, IA 52501
Phone (641) 472-4111
62311 Collection Ctr Dr
Chicago, IL 60693
1786 Moon Lake Blvd
Hoffman Estates, IL 60169
Phone (847) 640-5640
100 E Lefevre Rd
Sterling, IL 61081
Phone (815) 625-0400
1809 Locust St
Sterling, IL 61081
Phone (815) 564-4002
270 Walton Way
Hopkinsville, KY 42240
Phone (270) 886-1919
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
10300 W 8 Mile Rd
Ferndale, MI 48220
Phone (248) 398-3200
205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730
205 S East Ave
Jackson, MI 49201
Phone (517) 205-2103
6401 France Ave S
Minneapolis, MN 55435
Phone (952) 920-8477
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740
1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273
45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000
615 W Nursery St
Butler, MO 64730
Phone (660) 200-2004
19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000
2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360
21 Turtle Creek Dr
Ste 100
Asheville, NC 28803
Phone (828) 435-8394
Interoperability endpoints
- hbrahmbhatt418369@direct-ehr-ssmhc.com
- hetalbrahmbhatt@tdh.allscriptsdirect.net
Organizations & group practices 66
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.
-
dba Presence Medical Group
- Multi-Specialty Clinic/Center
- Elk Grove Village, IL
- NPI 1932216819
-
- Critical Care Medicine (Internal Medicine) Physician
- Roseville, CA
- NPI 1043928443
TN
-
- Critical Care Medicine (Internal Medicine) Physician
- Roseville, CA
- NPI 1265156558
MI, NV, SC, TN
-
- Psychiatry Physician
- Riverside, CA
- NPI 1033500574
-
dba First Assist Urgent Care
- Urgent Care Clinic/Center
- Elizabethton, TN
- NPI 1144380833
-
- Psychiatric Hospital
- Knoxville, TN
- NPI 1710640776
-
dba Ascension Medical Group Saint Thomas
- Internal Medicine Physician
- Nashville, TN
- NPI 1437194669
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1013303080
FL, MD, NC, PA, VA, WA, WI
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Florence, SC
- NPI 1699756221
-
dba Presence Saint Joseph Hospital-Chicago
- General Acute Care Hospital
- Chicago, IL
- NPI 1679659585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1841283199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "159 SUN CHASE CT",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376155502",
"telephone_number": "423-767-5444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "159 SUN CHASE CT",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376155502",
"telephone_number": "423-767-5444"
}
],
"practiceLocations": [
{
"address_1": "3400 S Washington Rd",
"address_purpose": "LOCATION",
"city": "Saginaw",
"state": "MI",
"postal_code": "486014958",
"country_code": "US",
"telephone_number": "989-755-1072",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "515 22nd Ave",
"address_purpose": "LOCATION",
"city": "Monroe",
"state": "WI",
"postal_code": "535661569",
"country_code": "US",
"telephone_number": "608-324-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3410 Old Lansing Rd",
"address_purpose": "LOCATION",
"city": "Lansing",
"state": "MI",
"postal_code": "489174392",
"country_code": "US",
"telephone_number": "517-657-2980",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4318 Miller Rd",
"address_purpose": "LOCATION",
"city": "Flint",
"state": "MI",
"postal_code": "485071267",
"country_code": "US",
"telephone_number": "810-249-9924",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1005 3rd St",
"address_purpose": "LOCATION",
"city": "Bay City",
"state": "MI",
"postal_code": "487086012",
"country_code": "US",
"telephone_number": "989-778-1396",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Amalia Dr",
"address_purpose": "LOCATION",
"city": "Buckhannon",
"state": "WV",
"postal_code": "262012239",
"country_code": "US",
"telephone_number": "304-473-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "216 14th Ave SW",
"address_purpose": "LOCATION",
"city": "Sidney",
"state": "MT",
"postal_code": "592703519",
"country_code": "US",
"telephone_number": "406-488-2100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8212 N Jennings Rd",
"address_purpose": "LOCATION",
"city": "Mount Morris",
"state": "MI",
"postal_code": "484588248",
"country_code": "US",
"telephone_number": "810-687-5100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "145 Irmc Dr",
"address_purpose": "LOCATION",
"city": "Indiana",
"state": "PA",
"postal_code": "157013673",
"country_code": "US",
"telephone_number": "724-357-7404",
"fax_number": "724-357-7471",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1321 S Fayette St",
"address_purpose": "LOCATION",
"city": "Saginaw",
"state": "MI",
"postal_code": "486021447",
"country_code": "US",
"telephone_number": "989-792-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRAHMBHATT",
"first_name": "HETAL",
"middle_name": "KANAIYALAL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-23",
"last_updated": "2026-09-29",
"certification_date": "2026-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "MD31821",
"primary": false
},
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "MI",
"license": "5315215826",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD487425C",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WV",
"license": "29546",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MT",
"license": "MED-PHYS-LIC-81169",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TN",
"license": "MD31821",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036151625",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WI",
"license": "678",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1841283199",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104486527",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3856024",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "291123000",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://webproxyprd.monroeclinic.org/FHIR-PRD/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "515 22nd Ave",
"city": "Monroe",
"state": "WI",
"country_code": "US",
"postal_code": "535661569",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Clinton",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3400 S Washington Rd",
"city": "Saginaw",
"state": "MI",
"country_code": "US",
"postal_code": "486014958",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hbrahmbhatt418369@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "hbrahmbhatt418369@direct-ehr-ssmhc.com",
"address_1": "515 22nd Ave",
"city": "Monroe",
"state": "WI",
"country_code": "US",
"postal_code": "535661569",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.