Individual provider Active NPI

Naga Krishnakanth Madireddy, M.D.

  • Neurology Physician
  • Louisville, KY
National Provider Identifier
1932604279
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
57708 Issued in KY
Practice address
4003 Kresge Way Suite 400
Louisville, KY 40207
Phone
(502) 895-7265
Fax
(502) 897-2032
NPI assigned
Mar 28, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Neurology Physician 2084V0102X 036160482 IL
Student in an Organized Health Care Education/Training Program 390200000X
Neurology Physician 2084N0400X 57708 KY Primary

Addresses

Primary practice location

4003 Kresge Way Suite 400
Louisville, KY 40207

Mailing address

4003 Kresge Way Suite 400
Louisville, KY 40207
Phone (502) 895-7265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230403001822 KY Practitioner - Neurology 7214360395 Reassigns benefits to 2 organizations
I20230511002405 IN Practitioner - Neurology 7214360395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, shared by 31 NPIs, 2,431 clinicians

Practice addresses (Care Compare)

1720 Nicholasville Rd
Suite 601
Lexington, KY 40503-1451
Phone (859) 277-5887

1850 State St
New Albany, IN 47150-4990
Phone (812) 542-4921

3900 Kresge Way
Suite 56
Louisville, KY 40207-4683
Phone (502) 895-7265

Hospital & facility affiliations

  • Baptist Health Louisville Hospital, Louisville, KY, CCN 180130
  • Baptist Health Paducah Hospital, Paducah, KY, CCN 180104
  • Baptist Health Corbin Hospital, Corbin, KY, CCN 180080
  • Baptist Health Lagrange Hospital, La Grange, KY, CCN 180138
  • Baptist Health Lexington Hospital, Lexington, KY, CCN 180103

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036160482ILMDVascular Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Medical Associates Inc Neurology CurrentSince Mar 27, 2023 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Mar 27, 2023 Accepting new patients
Baptist Health Medical Group Inc Neurology CurrentSince May 11, 2023 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients

Locations

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

1720 Nicholasville Rd
Ste 601
Lexington, KY 40503
Phone (859) 971-4652

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

4003 Kresge Way
Ste 400
Louisville, KY 40207
Phone (502) 895-4263

3900 Kresge Way
Ste 56
Louisville, KY 40207
Phone (502) 895-7265

4000 Kresge Way
St Matthews, KY 40207
Phone (502) 459-7902

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 5

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": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1932604279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4003 KRESGE WAY SUITE 400",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40207",
            "telephone_number": "502-895-7265",
            "fax_number": "502-897-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4003 KRESGE WAY SUITE 400",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40207",
            "telephone_number": "502-895-7265",
            "fax_number": "502-897-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADIREDDY",
        "first_name": "NAGA KRISHNAKANTH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-28",
        "last_updated": "2024-11-18",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "IL",
            "license": "036160482",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KY",
            "license": "57708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.