Individual provider Active NPI

Hetal Kanaiyalal Brahmbhatt, M.D.

  • Psychiatry Physician
  • Johnson City, TN
National Provider Identifier
1841283199
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD31821 Issued in TN
Practice address
159 Sun Chase CT
Johnson City, TN 37615-5502
Phone
(423) 767-5444
NPI assigned
Aug 23, 2005
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1841283199MedicaidVA
104486527MedicaidPA
3856024MedicaidTN
291123000OtherTNMAGELLAN

Electronic endpoints 3

TypeEndpointUseAffiliation
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, VA21 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 21

Enrollment IDStateProvider typePAC IDDetails
I20050513000792 TN Practitioner - PsychiatryPractitioner - Internal Medicine 7012958580 Reassigns benefits to 8 organizations
I20200313001979 NC Practitioner - PsychiatryPractitioner - Internal MedicinePractitioner - Neurology 7012958580 Reassigns benefits to 3 organizations
I20200405000340 MI Practitioner - Psychiatry 7012958580 Reassigns benefits to 3 organizations
I20210201001383 NV Practitioner - Psychiatry 7012958580 Reassigns benefits to 1 organization
I20210210001688 AZ Practitioner - Psychiatry 7012958580 Reassigns benefits to 1 organization
I20210921003747 WY Practitioner - Psychiatry 7012958580
I20211102001359 IL Practitioner - Psychiatry 7012958580 Reassigns benefits to 3 organizations
I20211129001261 WA Practitioner - Psychiatry 7012958580 Reassigns benefits to 4 organizations
I20220106000431 MN Practitioner - Psychiatry 7012958580 Reassigns benefits to 3 organizations
I20220223001901 WI Practitioner - Psychiatry 7012958580 Reassigns benefits to 3 organizations
I20220420000714 GA Practitioner - Psychiatry 7012958580 Reassigns benefits to 2 organizations
I20220804003876 CA Practitioner - Psychiatry 7012958580 Reassigns benefits to 5 organizations
I20230720002592 SC Practitioner - Psychiatry 7012958580 Reassigns benefits to 1 organization
I20240406000182 NY Practitioner - Psychiatry 7012958580
I20250605003586 TX Practitioner - Psychiatry 7012958580 Reassigns benefits to 2 organizations
I20250630000347 PA Practitioner - Psychiatry 7012958580 Reassigns benefits to 3 organizations
I20251223000272 UT Practitioner - Psychiatry 7012958580 Reassigns benefits to 1 organization
I20260213000491 FL Practitioner - Psychiatry 7012958580 Reassigns benefits to 1 organization
I20260221000393 MD Practitioner - Psychiatry 7012958580 Reassigns benefits to 1 organization
I20260317001970 KY Practitioner - Psychiatry 7012958580 Reassigns benefits to 1 organization
I20260406002084 VA Practitioner - Psychiatry 7012958580 Reassigns benefits to 1 organization

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
Veeone Medical Group PAGroup PAC ID 6800262437, 4 clinicians
Veeone Medical Group II Professional CorporationGroup PAC ID 8820468143, 7 clinicians
Ccmma SC LLCGroup PAC ID 7911242201, 17 clinicians
Presence Healthcare ServicesGroup PAC ID 2860396769, 69 clinicians
Abs Lincs Ky, LLC.Group PAC ID 6608833520, 12 clinicians
Mindcare Solutions PC of CaliforniaGroup PAC ID 4385942317, 3 clinicians

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

LicenseStateTypeSpecialty
036151625ILMDPsychiatry Physician
MED-PHYS-LIC-81169MTMDPsychiatry Physician
MD487425CPAMDPsychiatry Physician
MD31821TNMDPsychiatry Physician
29546WVMDPsychiatry Physician
31821TNMDFamily Nurse Practitioner

Practice roles (60 of 61)

OrganizationSpecialtyStatusNew patients
Access Telecare, PLLC Internal Medicine CurrentSince Jan 10, 2026 Accepting new patients
Henderson County Hospital Corporation CurrentSince Mar 1, 2020 Accepting new patients
Fairview Health Services Current Accepting new patients
Presence Healthcare Services Internal Medicine CurrentSince Dec 16, 2025 Accepting new patients
Veeone Medical Group II Professional Corporation Internal Medicine CurrentSince Nov 8, 2022 Accepting new patients
Blue Ridge Medical Management Corporation Internal Medicine CurrentSince May 1, 2005 Accepting new patients
Fairview Express Care Current Accepting new patients
Virginia Mason Medical Center Psychiatry CurrentSince Aug 9, 2021 Accepting new patients
Henry Ford Health System Current Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
SBH-Kingsport CurrentSince Dec 21, 2019 Accepting new patients
Teladoc Health Medical Group, P.a. Internal Medicine Current Accepting new patients
Ccmma SC LLC CurrentSince Jul 1, 2025 Accepting new patients
Veeone Medical Group PA Internal Medicine CurrentSince Oct 1, 2022 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Jul 1, 2022 Accepting new patients
Martin Luther King Jr Community Medical Foundation Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
King County Public Hospital District No. 2 CurrentSince Sep 1, 2021 Accepting new patients
The Monroe Clinic, Inc. CurrentSince Mar 22, 2022 Accepting new patients
Mindcare Solutions of Texas PA Psychiatry CurrentSince May 3, 2025 Accepting new patients
Multicare Health System CurrentSince May 5, 2023 Accepting new patients
Saint Thomas Medical Partners Internal Medicine CurrentSince Sep 1, 2020 Accepting new patients
Mindcare Solutions PC Psychiatry CurrentSince May 3, 2025 Accepting new patients
Henry Ford Health System Psychiatry CurrentSince Dec 1, 2020 Accepting new patients
CGH Medical Center CurrentSince Oct 1, 2021 Accepting new patients
Henderson County Hospital Corporation CurrentSince Mar 1, 2020 Accepting new patients
Mindcare Solutions PC Psychiatry CurrentSince Sep 24, 2023 Accepting new patients
Multicare Health System Current Accepting new patients
Healtheast Medical Research Institute Internal Medicine CurrentSince Oct 1, 2021 Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Dec 1, 2020 Accepting new patients
Indiana Healthcare Physician Services Inc Internal Medicine CurrentSince May 1, 2025 Accepting new patients
Multicare Health System CurrentSince May 5, 2023 Accepting new patients
Bonaventure Medical Foundation, LLC CurrentSince Dec 16, 2025 Accepting new patients
Indiana Healthcare Physician Services Inc CurrentSince May 1, 2025 Accepting new patients
W.a. Foote Memorial Hospital Current Accepting new patients
Tri-State Memorial Hospital Internal Medicine CurrentSince Nov 1, 2022 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Fairview Health Services CurrentSince Oct 1, 2021 Accepting new patients
Knoxville Center for Behavioral Medicine LLC CurrentSince Dec 8, 2025 Accepting new patients
Abs Lincs Ky, LLC Psychiatry CurrentSince Jan 20, 2026 Accepting new patients
The Monroe Clinic, Inc. CurrentSince Mar 22, 2022 Accepting new patients
Fairview Health Services Internal Medicine CurrentSince Oct 1, 2021 Accepting new patients
SBH-Kingsport CurrentSince Dec 21, 2019 Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
Virginia Mason Medical Center CurrentSince Aug 9, 2021 Accepting new patients
Tri-State Memorial Hospital CurrentSince Nov 1, 2022 Accepting new patients
Fairview Express Care CurrentSince Oct 1, 2021 Accepting new patients
MCPC-11, LLC CurrentSince Nov 15, 2021 Accepting new patients
CGH Medical Center CurrentSince Oct 1, 2021 Accepting new patients
King County Public Hospital District No 2 CurrentSince Sep 1, 2021 Accepting new patients
W.a. Foote Memorial Hospital, Inc Psychiatry CurrentSince Dec 1, 2020 Accepting new patients
Presence Healthcare Services CurrentSince Dec 16, 2025 Accepting new patients
Henry Ford Health System CurrentSince Dec 1, 2020 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince May 1, 2005 Accepting new patients
Mindcare Solutions PC Psychiatry Current Accepting new patients
Floyd Physicians, LLC Psychiatry CurrentSince Apr 1, 2022 Accepting new patients
Ccmma NJ LLC PastSince Oct 28, 2025 Accepting new patients
Boysville of Michigan, Inc. Past Accepting new patients
Acute Behavioral Health of Tennessee PC PastSince Dec 8, 2025 Accepting new patients
Medical Education Assistance Corporation Internal Medicine PastSince Aug 1, 2015 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

  • Direct secure messaging: hbrahmbhatt418369@direct-ehr-ssmhc.com
  • Direct secure messaging: 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.

View all 66

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": "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

Verify at the official NPI Registry.