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MRUDU HERBERT MD
NPI 1144725052
Pediatrics - Adolescent Medicine in Lexington, KY

Active since March 25, 2018PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
740 S LIMESTONE STE L404, LEXINGTON, KY 40536(859) 323-5643(859) 323-3795 Get Directions Write a Review

NPPES record last updated: August 24, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 24, 2021, Mar 25, 2018 (2 updates tracked since 2018).

About Mrudu Herbert Md NPPES

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

MRUDU HERBERT MD (NPI 1144725052) is an individual adolescent medicine provider in Lexington, Kentucky, licensed in Kentucky (55491) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lexington, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1144725052
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameMRUDU HERBERTCredential: MD
Location Address740 S LIMESTONE STE L404Lexington, KY 40536-0293
Mailing Address800 Rose St Rm Mn-118Lexington, KY 40536-0293 · (859) 323-6183 · Fax (859) 323-6183
Phone(859) 323-5643
Fax(859) 323-3795
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMarch 25, 2018
Last NPPES UpdateAugust 24, 20212 updates tracked since enumeration
NPPES CertifiedAugust 24, 2021
✔ NPI 1144725052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in KY · 55491
Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
740 S LIMESTONE STE L404, Lexington, KY 40536
Open in Google Maps ↗

Secondary Practice Location 1

Location 1800 Rose St Rm Mn-118Lexington, KY 40536-0293 · Phone (859) 323-6183 · Fax (859) 323-6183

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrudu Herbert 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 ID5597093120
PECOS Enrollment IDI20210915004083
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 Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

MEGAN REVLETT MSN, APRN, FNP-C
Nurse Practitioner (Family)
740 S LIMESTONE STE L404
LEXINGTON, KY 40536
Fayette County (859) 323-5643

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 Mrudu Herbert's NPI number?

The NPI number for Mrudu Herbert is 1144725052. It was assigned to this individual provider in the NPPES registry on March 25, 2018.

Where is Mrudu Herbert located?

Mrudu Herbert practices at 740 S Limestone Ste L404, Lexington, KY 40536. The listed phone number is (859) 323-5643.

What is Mrudu Herbert's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Mrudu Herbert enrolled in Medicare?

Yes. Mrudu Herbert 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.

When was this NPI record last updated?

The NPPES record for Mrudu Herbert was last updated on August 24, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.