Dr Rajesh Shivaji Kadam, MD in Kingsport, TN

Dr Rajesh Shivaji Kadam, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Kingsport, Tennessee. He graduated from medical school in 1991 and has 34 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Blue Ridge Medical Management Corporation and his current practice location is 1570 Waverly Rd, Kingsport, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 224-1300.

Dr Rajesh Shivaji Kadam is licensed to practice in Tennessee (license number 42576) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1134336563.

Contact Information

	Dr Rajesh Shivaji Kadam, MD
	1570 Waverly Rd, Kingsport, TN 37664-2523
	(423) 224-1300
	(423) 224-1375

Map and Direction

Physician's Profile

Full Name	Dr Rajesh Shivaji Kadam
Gender	Male
Speciality	Psychiatry
Experience	34 Years
Location	1570 Waverly Rd, Kingsport, Tennessee
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Rajesh Shivaji Kadam graduated from medical school in 1991

NPI Data:

NPI Number: 1134336563
Provider Enumeration Date: 05/16/2007
Last Update Date: 08/14/2025

Medicare PECOS Information:

PECOS PAC ID: 6002909538
Enrollment ID: I20080604000340

Medical Identifiers

Medical identifiers for Dr Rajesh Shivaji Kadam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134336563	NPI	-	NPPES
1504642	Medicaid	TN
1134336563	Medicaid	VA
3001511	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RA0000X	Internal Medicine - Adolescent Medicine	517 (Tennessee)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	517 (Tennessee)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	0101241538 (Virginia)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	42576 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Johnson City Medical Center	Johnson city, TN	Hospital
Franklin Woods Community Hospital	Johnson city, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Blue Ridge Medical Management Corporation	9739099441	306

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Rajesh Shivaji Kadam allows following entities to bill medicare on his behalf.

Entity Name	Blue Ridge Medical Management Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144380833 PECOS PAC ID: 9739099441 Enrollment ID: O20031204000996

Entity Name	Wellmont Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780986257 PECOS PAC ID: 8123291739 Enrollment ID: O20111026000909

Entity Name	Sbh-kingsport
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174038749 PECOS PAC ID: 8325399256 Enrollment ID: O20190725001314

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Rajesh Shivaji Kadam is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Rajesh Shivaji Kadam, MD 1167 Spratlin Park Dr, Gray, TN 37615-6205 Ph: (423) 467-3724	Dr Rajesh Shivaji Kadam, MD 1570 Waverly Rd, Kingsport, TN 37664-2523 Ph: (423) 224-1300

Reviews and Comments

Psychiatry & Neurology Doctors in Kingsport, TN

Dr. Christopher A Pendola, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 430 W Ravine Rd, Kingsport, TN 37660 Phone: 423-245-3161
Rakeshkumar Patel, M.D., MBA Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1025 Executive Park Blvd, Kingsport, TN 37660 Phone: 423-830-8110 Fax: 423-473-1102
Dr. Michael Dew, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 8 Sheridan Sq Ste 200, Kingsport, TN 37660 Phone: 423-247-5553 Fax: 423-247-9254
Dr. Robert Scott Macdonald, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 914 Broad St, Suite 3a, Kingsport, TN 37660 Phone: 423-247-5553 Fax: 423-247-9254
Pedro A Bauza-feliciano, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2000 Brookside Dr, Kingsport, TN 37660 Phone: 423-857-7000
Dr. Douglas A Wright, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 914 Broad St, Suite 3a, Kingsport, TN 37660 Phone: 423-247-5553 Fax: 423-247-9254
Otakar Krcal, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 8 Sheridan Sq, Ste 200, Kingsport, TN 37660 Phone: 423-857-1360 Fax: 423-723-0563

Dr Rajesh Shivaji Kadam, MD - Medicare Psychiatry in Kingsport, TN