ZAIN GUDURU M.D.
NPI 1215291398
Psychiatry & Neurology - Neurology in Lexington, KY

Q: What is Zain Guduru's NPI number?

The NPI number for Zain Guduru is 1215291398. It was assigned to this individual provider in the NPPES registry on July 3, 2012.

Q: What is Zain Guduru's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Zain Guduru was last updated on April 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.

Active since July 03, 2012PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

740 S LIMESTONE, J 401, LEXINGTON, KY 40536(859) 323-5661(859) 257-4999 Get Directions Write a Review

NPPES record last updated: April 20, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Zain Guduru M.d. NPPES

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

ZAIN GUDURU M.D. (NPI 1215291398) is an individual neurology provider in Lexington, Kentucky, licensed in Kentucky (49966) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Richmond, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1215291398

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameZAIN GUDURUCredential: M.D.

Location Address740 S LIMESTONE, J 401Lexington, KY 40536-0284

Mailing Address740 S Limestone, J 401Lexington, KY 40536-0284 · (859) 323-5661 · Fax (859) 257-4999

Phone(859) 323-5661

Fax(859) 257-4999

Sole ProprietorYes

Medical School CMSOtherGraduated 2010

Enumeration DateJuly 3, 2012

Last NPPES UpdateApril 20, 2017

✔ NPI 1215291398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in KY · 49966

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

740 S LIMESTONE, Lexington, KY 40536

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Zain Guduru M.d. 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 ID6800182205

PECOS Enrollment IDI20170823002056

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

Medicare enrollment records show Zain Guduru reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kentucky Medical Services Foundation, Inc

3.6 mi

Internal Medicine

2333 ALUMNI PARK PLZ, SUITE 200
Lexington, KY 40517

Reassigned Medicare billing, Kentucky enrollment
1,502 clinicians in this Medicare group

NPI 1326091448 (859) 257-7910

Rockcastle County Hospital, Inc.

44 mi

Rural Health

46 WEST MAIN STR.
Brodhead, KY 40409

Reassigned Medicare billing, Kentucky enrollment
54 clinicians in this Medicare group

NPI 1295275972 (606) 758-4748

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

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Needle measurement of electrical activity in muscle with injection of chemical for paralysis of nerve muscle 95874

This procedure involves a needle that measures the electrical activity in your muscles. A chemical is then injected to temporarily paralyze the nerve muscle. This helps in diagnosing and treating certain muscle or nerve conditions.

77 services35 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

64 services54 patients

Injection of chemical for paralysis of nerve muscles on side of neck excluding voice box 64616

This procedure involves injecting a chemical into specific neck muscles, causing temporary paralysis. It's designed to alleviate symptoms related to nerve disorders. The voice box isn't affected, ensuring normal speech post-procedure.

58 services24 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

56 services26 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

50 services44 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

49 services22 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

22 services22 patients

Injection of chemical for paralysis of nerve muscles on arm or leg, 1-4 muscles, first extremity 64642

This procedure involves injecting a chemical into specific muscles in your arm or leg, causing temporary paralysis. It targets 1-4 muscles in the first extremity. It's often used to manage conditions that cause muscle spasms or overactivity.

21 services11 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

15 services14 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

13 services13 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Health Richmond

Acute Care Hospitals · Richmond, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180049

Location801 Eastern BypassRichmond, KY 40475 · Madison County

Emergency services Birthing friendly

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number180067

Location800 Rose StreetLexington, KY 40536 · Fayette County

Emergency services Birthing friendly

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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 20

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

DR. ELIZABETH BROWN AUTRY PHARMD

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

740 S LIMESTONE
LEXINGTON, KY 40536

Fayette County (859) 218-2509

KHALID HAIKAL DO

Psychiatry & Neurology (Neurology)

740 S LIMESTONE
LEXINGTON, KY 40536

Fayette County (859) 323-5661

MARK A ETSCHEIDT PHD

Psychologist (Clinical)

740 S LIMESTONE
LEXINGTON, KY 40536

Fayette County (859) 323-5956

MICHAEL HAN YOUNG MD

Internal Medicine (Infectious Disease)

740 S LIMESTONE
LEXINGTON, KY 40536

Fayette County (859) 323-5544

MR. DAVID ANTHONY BRAJUHA ATC

Specialist/Technologist (Athletic Trainer)

740 S LIMESTONE, SUITE K401, KY CLINIC
LEXINGTON, KY 40536

Fayette County (859) 323-5533

MS. MARGARET GRACE AU MBE, MS, CGC

Genetic Counselor, MS

740 S LIMESTONE
LEXINGTON, KY 40536

Fayette County (859) 218-1795

ALEXANDRIA DULAY

Nurse Practitioner (Psychiatric/Mental Health)

740 S LIMESTONE
LEXINGTON, KY 40536

Fayette County (859) 257-8992

KITTYE R ROBERTS ARNP

Nurse Practitioner (Primary Care)

740 S LIMESTONE
LEXINGTON, KY 40536

Fayette County (859) 323-5981

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 Zain Guduru's NPI number?

The NPI number for Zain Guduru is 1215291398. It was assigned to this individual provider in the NPPES registry on July 3, 2012.

Where is Zain Guduru located?

Zain Guduru practices at 740 S Limestone J 401, Lexington, KY 40536. The listed phone number is (859) 323-5661.

What is Zain Guduru's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Zain Guduru enrolled in Medicare?

Yes. Zain Guduru 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 Zain Guduru's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Zain Guduru reassigns Medicare benefits to 2 organizations: Kentucky Medical Services Foundation, Inc (Lexington, KY) and Rockcastle County Hospital, Inc. (Brodhead, KY). 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 Zain Guduru's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Zain Guduru accept?

Health plans from Anthem Blue Cross and Blue Shield list Zain Guduru 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 Zain Guduru affiliated with any hospitals?

According to CMS data, Zain Guduru is affiliated with Baptist Health Richmond and University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Zain Guduru was last updated on April 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.