Individual provider Active NPI

Arun Rajguru Kadambi, MD

  • Allergy Physician
  • Lexington, KY
National Provider Identifier
1811998925
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
34760 Issued in KY
Practice address
1136 Monarch St.
Lexington, KY 40515
Phone
(859) 223-0000
Fax
(859) 223-0602
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 34760 KY Primary

Addresses

Primary practice location

1136 Monarch St.
Lexington, KY 40515

Mailing address

1136 Monarch St.
Lexington, KY 40513
Phone (859) 223-0000

Other identifiers 1

IdentifierTypeStateIssuer
64347602MedicaidKY

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
I20080609000046 KY Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 1951471564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Pediatric Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy Asthma and Sinus Center PLLCGroup PAC ID 8123198736, 3 clinicians

Practice addresses (Care Compare)

1136 Monarch Dr
Lexington, KY 40513
Phone (859) 223-0000

1136 Monarch St
Lexington, KY 40513-1888

504 Tenikat St
Danville, KY 40422-1751
Phone (859) 223-0000

Merit-based Incentive Payment System (MIPS)

Final score
23.58 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
78.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34760KYMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Asthma & Sinus Center PLLC Allergy CurrentSince Apr 9, 2008 Accepting new patients
Allergy & Asthma Physicians of Central Kentucky, PSC Allergy & Immunology Past Accepting new patients

Locations

504 Tenikat St
Danville, KY 40422
Phone (859) 236-4442

1136 Monarch St
Lexington, KY 40513
Phone (859) 223-0000

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.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1811998925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 MONARCH ST.",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40513",
            "telephone_number": "859-223-0000",
            "fax_number": "859-223-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 MONARCH ST.",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40515",
            "telephone_number": "859-223-0000",
            "fax_number": "859-223-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADAMBI",
        "first_name": "ARUN",
        "middle_name": "RAJGURU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "KY",
            "license": "34760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64347602",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.