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VASHISHT VENKATA MADABHUSHI MD
NPI 1134581622
Surgery in Lexington, KY

Active since March 23, 2016PECOS EnrolledAccepts Medicare Assignment
800 ROSE ST # C-246, LEXINGTON, KY 40536(859) 323-6162 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 24, 2025, Aug 13, 2025, Jul 3, 2017 and 1 more (4 updates tracked since 2016).

About Vashisht Venkata Madabhushi Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VASHISHT VENKATA MADABHUSHI MD (NPI 1134581622) is an individual surgery provider in Lexington, Kentucky, licensed in Kentucky (R4129) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1134581622
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameVASHISHT VENKATA MADABHUSHICredential: MD
Location Address800 ROSE ST # C-246Lexington, KY 40536-7001
Mailing Address800 Rose StLexington, KY 40536-7001
Phone(859) 323-6162
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 23, 2016
Last NPPES UpdateNovember 24, 20254 updates tracked since enumeration
NPPES CertifiedNovember 24, 2025
✔ NPI 1134581622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in KY · R4129
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License 01096837A (IN)
800 ROSE ST # C-246, Lexington, KY 40536
Open in Google Maps ↗

Secondary Practice Locations 2

Location 15177 McCarty LnLafayette, IN 47905-8764 · Phone (765) 448-8000 · Fax (765) 448-8000
Location 211725 Illinois StCarmel, IN 46032-3008 · Phone (317) 962-0280

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Vashisht Venkata Madabhushi Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850661596
PECOS Enrollment IDI20250819003184
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Vashisht Madabhushi reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Iu Health Medical Group, LLC
151 mi
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
NPI 1326893777 (317) 962-2000
University Vascular Surgery, Inc
151 mi
Vascular Surgery
1801 SENATE BLVD, MPC 2, SUITE D3500
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 19 clinicians in this Medicare group
NPI 1043328487 (317) 962-0280
Arnett Clinic, LLC
205 mi
Internal Medicine
5165 MCCARTY LN
Lafayette, IN 47905
  • Reassigned Medicare billing, Indiana enrollment
  • 671 clinicians in this Medicare group
NPI 1164490843 (765) 448-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Iu Health West Hospital

Acute Care Hospitals · Avon, IN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number150158
Location1111 N Ronald Reagan PkwyAvon, IN 46123 · Hendricks County
Emergency services Birthing friendly

Indiana University Health North Hospital

Acute Care Hospitals · Carmel, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150161
Location11700 N Meridian StCarmel, IN 46032 · Hamilton County
Emergency services Birthing friendly

Indiana University Health Arnett Hospital

Acute Care Hospitals · Lafayette, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150173
Location5165 Mccarty LnLafayette, IN 47905 · Tippecanoe County
Emergency services Birthing friendly

Indiana University Health White Memorial Hospital

Critical Access Hospitals · Monticello, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number151312
Location720 South Sixth StMonticello, IN 47960 · White County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SATYA SAI DALAVAYI
Surgery
800 ROSE ST # C-246
LEXINGTON, KY 40536
Fayette County (859) 323-6162
WESLEY ANNE STEPHENS STUDENT
Surgery
800 ROSE ST # C-246
LEXINGTON, KY 40536
Fayette County (859) 323-6162
HANNAH G MCDONALD
Student in an Organized Health Care Education/Training Program
800 ROSE ST # C-246
LEXINGTON, KY 40536
Fayette County (859) 323-6162
BRITTANY MCKINLEY
Student in an Organized Health Care Education/Training Program
800 ROSE ST # C-246
LEXINGTON, KY 40536
Fayette County (859) 323-6162
DR. ASHLEIGH WRIGHT DO
Surgery
800 ROSE ST # C-246
LEXINGTON, KY 40536
Fayette County (859) 323-6162
REAGAN MICHELLE STAFFORD MD
Student in an Organized Health Care Education/Training Program
800 ROSE ST # C-246
LEXINGTON, KY 40536
Fayette County (859) 323-6162
CHRIS JARZABEK
Student in an Organized Health Care Education/Training Program
800 ROSE ST # C-246
LEXINGTON, KY 40536
Fayette County (859) 323-6162
KYLE RIDLEN
Student in an Organized Health Care Education/Training Program
800 ROSE ST # C-246
LEXINGTON, KY 40536
Fayette County (859) 323-6162

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vashisht Madabhushi's NPI number?

The NPI number for Vashisht Madabhushi is 1134581622. It was assigned to this individual provider in the NPPES registry on March 23, 2016.

Where is Vashisht Madabhushi located?

Vashisht Madabhushi practices at 800 Rose St # C-246, Lexington, KY 40536. The listed phone number is (859) 323-6162.

What is Vashisht Madabhushi's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Vashisht Madabhushi enrolled in Medicare?

Yes. Vashisht Madabhushi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Vashisht Madabhushi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vashisht Madabhushi reassigns Medicare benefits to 3 organizations: Iu Health Medical Group, LLC (Indianapolis, IN), University Vascular Surgery, Inc (Indianapolis, IN) and Arnett Clinic, LLC (Lafayette, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Vashisht Madabhushi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vashisht Madabhushi accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Vashisht Madabhushi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Vashisht Madabhushi affiliated with any hospitals?

According to CMS data, Vashisht Madabhushi is affiliated with Indiana University Health, Iu Health West Hospital, Indiana University Health North Hospital, Indiana University Health Arnett Hospital and Indiana University Health White Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Vashisht Madabhushi was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.