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DR. ARVINDA PADMANABHAN M.D.
NPI 1629280656
Internal Medicine - Medical Oncology in Lexington, KY

Active since May 03, 2007PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
1720 NICHOLASVILLE RD, SUITE 701, LEXINGTON, KY 40503(859) 276-0414(859) 276-3765 Get Directions Write a Review

NPPES record last updated: December 7, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Arvinda Padmanabhan M.d. NPPES

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

DR. ARVINDA PADMANABHAN M.D. (NPI 1629280656) is an individual medical oncology provider in Lexington, Kentucky, licensed in Kentucky (41739) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Richmond, and is a graduate of University Of Kentucky College Of Medicine (2004).

NPPES Registry Identity

NPI1629280656
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameDR. ARVINDA PADMANABHANCredential: M.D.
Location Address1720 NICHOLASVILLE RD, SUITE 701Lexington, KY 40503-1404
Mailing AddressPo Box 910670Lexington, KY 40591-0670 · (859) 971-4685 · Fax (859) 971-4602
Phone(859) 276-0414
Fax(859) 276-3765
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2004
Enumeration DateMay 3, 2007
Last NPPES UpdateDecember 7, 2020
NPPES CertifiedDecember 7, 2020
✔ NPI 1629280656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License✔ Licensed in KY · 41739
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
1720 NICHOLASVILLE RD, Lexington, KY 40503
Open in Google Maps ↗

Other Identifiers 2

Medicaid7100177380KY
Other41739KY · Medical License

Accepted Insurance

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

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

Dr. Arvinda Padmanabhan 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 ID4486822541
PECOS Enrollment IDI20110718000230
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.

Areas of Expertise CMS Part B claims 9

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.

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.
581 services204 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
120 services99 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.
59 services35 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.
44 services44 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.
36 services30 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.
32 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Baptist Health Corbin

Acute Care Hospitals · Corbin, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180080
LocationOne Trillium WayCorbin, KY 40701 · Whitley County
Emergency services Birthing friendly

Clark Regional Medical Center

Acute Care Hospitals · Winchester, KY
3/5 CMS rating
OwnershipProprietary
CMS Certification Number180092
Location175 Hospital DriveWinchester, KY 40391 · Clark County
Emergency services Birthing friendly

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40503 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
$162.27 typical visit price
range $52.76 – $162.27
Typical copayment $40.56 (range $13.19 – $40.56)
Most-billed visit code 99205
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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers38 claims2,408 services$0.67 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
3 suppliers30 claims30 services$16.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

EMILY MEGAN CARTER PA-C
Physician Assistant
1720 NICHOLASVILLE RD, STE 601
LEXINGTON, KY 40503
Fayette County (859) 277-5887
MRS. JENNIFER A FUSON MD
Obstetrics & Gynecology
1720 NICHOLASVILLE RD, STE 702
LEXINGTON, KY 40503
Fayette County (859) 264-8811
MS. ELAINE P SCHERMER ARNP
Nurse Practitioner (Acute Care)
1720 NICHOLASVILLE RD, SUITE 506
LEXINGTON, KY 40503
Fayette County (859) 260-6326
CHARLES A KENNEDY MD
Internal Medicine (Infectious Disease)
1720 NICHOLASVILLE RD, SUITE 602
LEXINGTON, KY 40503
Fayette County (859) 277-4005
BAPTIST PHYSICIANS LEXINGTON, INC
Internal Medicine (Hospice and Palliative Medicine)
1720 NICHOLASVILLE RD, SUITE 703
LEXINGTON, KY 40503
Fayette County (859) 260-6348
TONYA BREEDING PA-C
Physician Assistant
1720 NICHOLASVILLE RD, SUTIE 601
LEXINGTON, KY 40503
Fayette County (859) 277-5887
MICHAEL T REYMANN MD
Internal Medicine (Infectious Disease)
1720 NICHOLASVILLE RD, STE 602
LEXINGTON, KY 40503
Fayette County (859) 277-4005
SHANTEL J. DEVER AU.D.
Audiologist
1720 NICHOLASVILLE RD, SUITE 500
LEXINGTON, KY 40503
Fayette County (859) 278-1114

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 Arvinda Padmanabhan's NPI number?

The NPI number for Arvinda Padmanabhan is 1629280656. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Arvinda Padmanabhan located?

Arvinda Padmanabhan practices at 1720 Nicholasville Rd Suite 701, Lexington, KY 40503. The listed phone number is (859) 276-0414.

What is Arvinda Padmanabhan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Arvinda Padmanabhan enrolled in Medicare?

Yes. Arvinda Padmanabhan 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.

What insurance does Arvinda Padmanabhan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Arvinda Padmanabhan 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 Arvinda Padmanabhan affiliated with any hospitals?

According to CMS data, Arvinda Padmanabhan is affiliated with Baptist Health Richmond, Baptist Health Corbin, Clark Regional Medical Center and Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Arvinda Padmanabhan was last updated on December 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.