Active NPI
Mrudu Herbert, MD
- Pediatric Adolescent Medicine Physician
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 55491
- Practice address
- 740 S Limestone Ste L404
Lexington, KY 40536-0293 - Phone
- (859) 323-5643
- Fax
- (859) 323-3795
- NPI assigned
- Mar 25, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Adolescent Medicine Physician | 2080A0000X | 55491 | KY | Primary |
Addresses
Primary practice location
740 S Limestone Ste L404
Lexington, KY 40536-0293
Mailing address
800 Rose St RM MN-118
Lexington, KY 40536-0293
Phone (859) 323-6183
Other practice location 1
800 Rose St Rm Mn-118
Lexington, KY 40536-0293
Phone (859) 323-6183
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
740 S Limestone St
Lexington, KY 40508-1683
Phone (859) 257-8562
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.77 of 100
- Quality
- 68.25
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.39
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55491 | KY | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Kentucky | Current | Accepting new patients | |
| Kentucky Medical Services Foundation, Inc | Current | Accepting new patients |
Locations
800 Rose St
Rm MN118
Lexington, KY 40536
Phone (859) 323-5157
800 Rose St
Lexington, KY 40536
Phone (859) 257-8562
2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800
Interoperability endpoints
- mherbert17500@ukhcdirect.org
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Lexington, KY
- NPI 1326091448
-
- Diagnostic Radiology Physician
- Lexington, KY
- NPI 1770771974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629763200000",
"number": "1144725052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 ROSE ST RM MN-118",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405360293",
"telephone_number": "859-323-6183",
"fax_number": "859-323-6183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 S LIMESTONE STE L404",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405360293",
"telephone_number": "859-323-5643",
"fax_number": "859-323-3795"
}
],
"practiceLocations": [
{
"address_1": "800 Rose St Rm Mn-118",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405360293",
"country_code": "US",
"telephone_number": "859-323-6183",
"fax_number": "859-323-6183",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERBERT",
"first_name": "MRUDU",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-25",
"last_updated": "2021-08-24",
"certification_date": "2021-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "KY",
"license": "55491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.