KANCHAN PURI CLARK (MD) – Psychiatry Physician, NPI 1649230509
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,033 PSYCHIATRY in VA
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Provider Addresses for KANCHAN PURI CLARK (MD)
Southern Virginia Mental Health Institute, 382, Taylor Drive, Danville City, Virginia, 24541, United States
DANVILLE, VA 24541
Phone: (434) 773-4240
Fax: (434) 773-4241
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 303 Open Payments records for all available years, with a total value of $7,035.
Total Amount is formed as General ($7,035) + Research ($0) + Ownership ($0) = $7,035.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($881).
Total Amount
$7,035
General + Research + Ownership
Payments
303
Total payment records
General Amount
$7,035
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $881 |
| Otsuka America Pharmaceutical, Inc. | $840 |
| ITI, Inc. | $826 |
| Alkermes, Inc. | $507 |
| Vanda Pharmaceuticals Inc. | $454 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-10-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161017002292 | I | Psychiatry | VA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 96372 | Injection of drug or substance under skin or into muscle | 210 | 38 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 169 | 93 | $0 |
Insurance plans in this area (ZIP 24541)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | VA | |
| - | VA | |
| Clinical Social Worker | WA | |
| Clinical Social Worker | VA | |
| - | VA | |
| Clinical Social Worker | VA | |
| P S Y C H I A T R Y | VA | |
| Mental Health Counselor | VA | |
| Mental Health Counselor | VA | |
| Clinical Social Worker | VA |
Reviews
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