NPIMap

Individual provider Active NPI

Raghunath Gudibanda, MD

  • Neurology Physician
  • Louisville, KY
National Provider Identifier
1659418119
Registry record updated Sep 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
41448 Issued in KY
Practice address
315 E Broadway Ste 185E
Louisville, KY 40202-3700
Phone
(502) 629-5455
Fax
(502) 629-4151
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 41448 KY
Neurology Physician 2084N0400X 41448 KY Primary

Addresses

Primary practice location

315 E Broadway Ste 185E
Louisville, KY 40202-3700

Mailing address

PO Box 950202
Louisville, KY 40295-0202
Phone (502) 969-6552

Other identifiers 7

IdentifierTypeStateIssuer
50021428OtherKYPASSPORT
3552164000OtherKYPASSPORT ADVANTAGE
000023033XOtherKYHUMANA
000000587053OtherKYANTHEM/NORTON
098231OtherKYSIHO
200948520MedicaidIN
7100064020MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081015000612 KY Practitioner - Pain ManagementPractitioner - Neurology 2163580424 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Neurology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians
Norton Hospitals, IncGroup PAC ID 9830001528, 137 clinicians

Practice addresses (Care Compare)

1 Audubon Plaza Dr
Louisville, KY 40217-1318
Phone (502) 636-7225

200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 893-1270

2355 Poplar Level Rd
Louisville, KY 40217-1395
Phone (502) 636-7660

315 E Broadway
Louisville, KY 40202-3700

825 Barret Ave
Louisville, KY 40204-1743
Phone (502) 272-5165

Hospital & facility affiliations

  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41448KYMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Hospitals, Inc Pain Medicine CurrentSince Dec 20, 2025 Accepting new patients
Community Medical Associates, Inc. CurrentSince Aug 18, 2008 Accepting new patients
Community Medical Associates, Inc. CurrentSince Aug 18, 2008 Accepting new patients
Norton Hospitals Inc CurrentSince Dec 20, 2025 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients

Locations

315 E Broadway
Ste 185
Louisville, KY 40202
Phone (502) 629-4150

4950 Norton Healthcare Blvd
Ste 303
Louisville, KY 40241
Phone (502) 394-6470

315 E Broadway
Ste 415
Louisville, KY 40202
Phone (502) 629-5455

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

2355 Poplar Level Rd
Louisville, KY 40217
Phone (502) 636-7660

9880 Angies Way
Ste 170
Louisville, KY 40241
Phone (502) 629-5455

315 E Broadway
Ste 185E
Louisville, KY 40202
Phone (502) 629-5455

315 E Broadway
Louisville, KY 40202
Phone (502) 272-5331

3999 Dutchmans Ln
Ste 5D
Louisville, KY 40207
Phone (502) 897-1891

9880 Angies Way
Ste 300
Louisville, KY 40241
Phone (502) 629-2225

2355 Poplar Level Rd
Ste G111
Louisville, KY 40217
Phone (502) 636-8121

315 E Broadway
Fl 4
Louisville, KY 40202
Phone (502) 272-5165

Interoperability endpoints

  • Direct secure messaging: rgudibanda5424@direct.nortonhealthcare.org

Organizations & group practices 5

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252540800000",
    "number": "1659418119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950202",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402950202",
            "telephone_number": "502-969-6552",
            "fax_number": "502-969-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E BROADWAY STE 185E",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023700",
            "telephone_number": "502-629-5455",
            "fax_number": "502-629-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDIBANDA",
        "first_name": "RAGHUNATH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2009-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "KY",
            "license": "41448",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KY",
            "license": "41448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "50021428",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "3552164000",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "000023033X",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/NORTON",
            "identifier": "000000587053",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO",
            "identifier": "098231",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200948520",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100064020",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.