Individual provider Active NPI

Jitander Singh Dudee, M.D.

  • Ophthalmology Physician
  • Lexington, KY
National Provider Identifier
1053385971
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
30460 Issued in KY
Practice address
2351 Huguenard Drive
Suite 100
Lexington, KY 40503
Phone
(859) 278-9486
Fax
(888) 500-3329
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 30460 KY Primary

Addresses

Primary practice location

2351 Huguenard Drive
Suite 100
Lexington, KY 40503

Mailing address

181 Prosperous PL
Lexington, KY 40509-1804
Phone (859) 278-9486

Other identifiers 1

IdentifierTypeStateIssuer
64304603MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111206000038 KY Practitioner - Ophthalmology 5193775864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

181 Prosperous PL
Lexington, KY 40509-1804
Phone (859) 278-9486

Hospital & facility affiliations

  • Bluegrass Community Hospital Hospital, Versailles, KY, CCN 181308

Merit-based Incentive Payment System (MIPS)

Final score
94.28 of 100Reported as individual
Quality
88.56
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
30460KYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Vision Institute, PSC Ophthalmology CurrentSince Jun 20, 2011 Accepting new patients

Locations

2351 Huguenard Dr
Ste 100
Lexington, KY 40503
Phone (859) 278-0877

3288 Eagle View Ln
Ste 300
Lexington, KY 40509
Phone (859) 254-5665

181 Prosperous Pl
Lexington, KY 40509
Phone (859) 278-9486

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1053385971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 PROSPEROUS PL",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091804",
            "telephone_number": "859-278-9486",
            "fax_number": "888-500-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 HUGUENARD DRIVE",
            "address_2": "SUITE 100",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40503",
            "telephone_number": "859-278-9486",
            "fax_number": "888-500-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDEE",
        "first_name": "JITANDER",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "30460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64304603",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.