JOHN PIDAKALA MD
NPI 1922680727
Hospitalist in Cynthiana, KY
About John Pidakala Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN PIDAKALA MD (NPI 1922680727) is an individual hospitalist provider in Cynthiana, Kentucky, licensed in Kentucky (59721) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Harrison Memorial Hospital, and maintains a secondary practice location in Lillington.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted 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
John Pidakala 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.
Medicare Billing Reassignment
Medicare enrollment records show John Pidakala reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lexington, KY 40504
- Reassigned Medicare billing, Kentucky enrollment
- 236 clinicians in this Medicare group
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 5
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Harrison Memorial Hospital
Acute Care Hospitals · Cynthiana, KYBaptist Health Lexington
Acute Care Hospitals · Lexington, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 41031 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CYNTHIANA, KY 41031
CYNTHIANA, KY 41031
CYNTHIANA, KY 41031
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 John Pidakala's NPI number?
The NPI number for John Pidakala is 1922680727. It was assigned to this individual provider in the NPPES registry on April 22, 2021.
Where is John Pidakala located?
John Pidakala practices at 1210 Ky Highway 36 E Unit 1, Cynthiana, KY 41031. The listed phone number is (859) 234-2300.
What is John Pidakala's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is John Pidakala enrolled in Medicare?
Yes. John Pidakala 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 organization bills Medicare for John Pidakala's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Pidakala reassigns Medicare benefits to Cogent Healthcare Of Kentucky, Psc (Lexington, KY). The 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 John Pidakala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Pidakala accept?
Health plans from Anthem Blue Cross and Blue Shield list John Pidakala 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 John Pidakala affiliated with any hospitals?
According to CMS data, John Pidakala is affiliated with Harrison Memorial Hospital and Baptist Health Lexington.
When was this NPI record last updated?
The NPPES record for John Pidakala was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# John Pidakala, MD · NPI 1922680727
Hospitalist physician in Cynthiana, Kentucky. Individual provider, active in the CMS NPPES registry since April 22, 2021.
## Identity
- **NPI:** 1922680727 (Entity type: Individual)
- **Enumerated:** April 22, 2021
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 59721 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 1210 KY HIGHWAY 36 E UNIT 1, Cynthiana, KY 41031-7498
- **Phone:** (859) 234-2300
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Cogent Healthcare Of Kentucky, Psc (NPI 1053362293, Lexington, KY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Kentucky College Of Medicine, class of 2021
## Record status
- **NPPES last updated:** August 15, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1922680727) · Data from the CMS NPPES public registry.