RAGHUNATH GUDIBANDA MD NPI 1659418119

NPI Information

  • NPI: 1659418119
  • Provider Name: RAGHUNATH GUDIBANDA, MD
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 315 E BROADWAY STE 185E
    LOUISVILLE, KY
    ZIP 40202
  • Phone: (502) 629-5455

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NPI Details

Raghunath Gudibanda, MD is a neurology psychiatry neurology in Louisville, KY with 29 years of experience. The provider is 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. Raghunath Gudibanda, MD NPI is 1659418119. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

315 E BROADWAY STE 185E
LOUISVILLE, KY
ZIP 40202-700
Phone: (502) 629-5455
Fax: (502) 629-4151

The NPI 1659418119 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance (HCPCS:27096)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint (HCPCS:64636)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Injection of lower or sacral spine facet joint using imaging guidance, second level (HCPCS:64494)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Testing for presence of drug, read by direct observation (HCPCS:80305)
  • Fluoroscopic guidance for needle placement (HCPCS:77002)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)

The enumeration date for this NPI number is 1/31/2007 and was last updated on 9/10/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208VP0000XPain MedicinePain Medicine41448KENTUCKYNo
22084N0400XPsychiatry & NeurologyNeurology41448KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
150021428OTHERKENTUCKYPASSPORT
2098231OTHERKENTUCKYSIHO
37100064020MEDICAIDKENTUCKY
4000023033XOTHERKENTUCKYHUMANA
53552164000OTHERKENTUCKYPASSPORT ADVANTAGE
6200948520MEDICAIDINDIANA
7000000587053OTHERKENTUCKYANTHEM/NORTON
800533061MEDICARE PINKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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