Individual provider Active NPI

Anand Modadugu, MD

  • Interventional Pain Medicine Physician
  • Winchester, KY
National Provider Identifier
1669674206
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
48798 Issued in KY
Practice address
225 Hospital Dr
Winchester, KY 40391-7604
Phone
(859) 737-8559
Fax
(859) 276-3847
NPI assigned
Jun 5, 2007
Last updated
May 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 48798 KY
Interventional Pain Medicine Physician 208VP0014X 48798 KY Primary

Addresses

Primary practice location

225 Hospital Dr
Winchester, KY 40391-7604

Mailing address

225 Hospital Dr Ste 225
Winchester, KY 40391-7604
Phone (859) 737-6559

Other identifiers 1

IdentifierTypeStateIssuer
7100400850MedicaidKY

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
I20151223001117 KY Practitioner - Internal MedicinePractitioner - Pain Management 3274624242 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pain Management
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

455 Bullion Blvd
Winchester, KY 40391-2933
Phone (859) 737-4411

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48798KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Physician Corp CurrentSince Sep 1, 2020 Accepting new patients
Clark Regional Physician Practices, LLC Internal Medicine CurrentSince Dec 1, 2021 Accepting new patients
Appalachian Regional Healthcare Inc Interventional Pain Medicine CurrentSince Aug 1, 2019 Accepting new patients
Jackson Hospital Corporation CurrentSince Jun 25, 2023 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Aug 1, 2019 Accepting new patients
Clark Regional Physician Practices LLC CurrentSince Dec 1, 2021 Accepting new patients
Jackson Physician Corp Internal Medicine CurrentSince Sep 1, 2020 Accepting new patients
Pain Treatment Center of the Bluegrass PSC Interventional Pain Medicine CurrentSince Oct 12, 2025 Accepting new patients
Jackson Hospital Corporation Internal Medicine CurrentSince Jun 25, 2023 Accepting new patients
University of Kentucky Internal Medicine Past Accepting new patients
Kentucky Hospital, LLC Interventional Pain Medicine Past Accepting new patients

Locations

200 Medical Center Dr
Ste 3L
Hazard, KY 41701
Phone (606) 439-1815

540 Jett Dr
Jackson, KY 41339
Phone (606) 666-4971

2416 Regency Rd
Lexington, KY 40503

225 Hospital Dr
Winchester, KY 40391
Phone (859) 737-8528

225 Hospital Dr
Ste 200A
Winchester, KY 40391
Phone (859) 737-6480

225 Hospital Dr
Ste 225
Winchester, KY 40391
Phone (859) 744-2623

455 Bullion Blvd
Winchester, KY 40391
Phone (859) 744-2623

Interoperability endpoints

  • Direct secure messaging: amodadug@yourcarecommunity.org
  • Direct secure messaging: anand.modadugu.1@19475.direct.athenahealth.com

Organizations & group practices 11

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

Hospital & facility affiliations 2

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": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1669674206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 HOSPITAL DR STE 225",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403917604",
            "telephone_number": "859-737-6559",
            "fax_number": "859-737-6560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 HOSPITAL DR",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403917604",
            "telephone_number": "859-737-8559",
            "fax_number": "859-276-3847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODADUGU",
        "first_name": "ANAND",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "48798",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "KY",
            "license": "48798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100400850",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, KY

Sources for this page

Verify at the official NPI Registry.