RAGHUNATH GUDIBANDA MD
NPI 1659418119
Psychiatry & Neurology - Neurology in Louisville, KY

Active since January 31, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
315 E BROADWAY STE 185E, LOUISVILLE, KY 40202(502) 629-5455(502) 629-4151 Get Directions Write a Review

NPPES record last updated: September 10, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Raghunath Gudibanda Md NPPES

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

RAGHUNATH GUDIBANDA MD (NPI 1659418119) is an individual neurology provider in Louisville, Kentucky, licensed in Kentucky (41448) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1659418119
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameRAGHUNATH GUDIBANDACredential: MD
Location Address315 E BROADWAY STE 185ELouisville, KY 40202-3700
Mailing AddressPo Box 950202Louisville, KY 40295-0202 · (502) 969-6552 · Fax (502) 969-3799
Fax(502) 629-4151
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJanuary 31, 2007
Last NPPES UpdateSeptember 10, 2009
NPI 1659418119 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 · 41448
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 ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X · License 41448 (KY)
315 E BROADWAY STE 185E, Louisville, KY 40202

Other Identifiers 8

Other50021428KY · Passport
Other098231KY · Siho
Medicaid7100064020KY
Other000023033XKY · Humana
Other3552164000KY · Passport Advantage
Medicaid200948520IN
Other000000587053KY · Anthem/norton
Medicare PIN00533061KY

Accepted 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

Raghunath Gudibanda 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 ID2163580424
PECOS Enrollment IDI20081015000612
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 14

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.

Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
410 services200 patients
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance 27096
This procedure involves injecting medicine into the joint where your lower spine meets your hip bone. Using special imaging technology, the doctor ensures the medicine is delivered accurately. This can help reduce pain and inflammation in that area.
134 services61 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.
122 services72 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.
98 services58 patients
Injection of substance into middle or upper spine canal using imaging guidance 62321
This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.
86 services50 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.
76 services51 patients

Hospital Affiliations CMS Care Compare

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

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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 Interoperability100
Improvement Activities40

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 Raghunath Gudibanda's NPI number?

The NPI number for Raghunath Gudibanda is 1659418119. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Raghunath Gudibanda located?

Raghunath Gudibanda practices at 315 E Broadway Ste 185E, Louisville, KY 40202. The listed phone number is (502) 629-5455.

What is Raghunath Gudibanda's specialty?

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

Is Raghunath Gudibanda enrolled in Medicare?

Yes. Raghunath Gudibanda 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 Raghunath Gudibanda accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Raghunath Gudibanda 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 Raghunath Gudibanda affiliated with any hospitals?

According to CMS data, Raghunath Gudibanda is affiliated with Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Raghunath Gudibanda was last updated on September 10, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.