Organization Active NPI

Lexington Integrative Sports Medicine PLLC

  • Sports Medicine (Family Medicine) Physician
  • Lexington, KY
National Provider Identifier
1376447201
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
Legal business name
LEXINGTON INTEGRATIVE SPORTS MEDICINE PLLC
Practice address
2285 Executive Dr Ste 110
Lexington, KY 40505-4810
Phone
(859) 374-3529
Fax
(859) 994-5736
NPI assigned
Oct 5, 2026
Last updated
Oct 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Authorized official

Name
Srikanth NithyanandamNPI 1962887778
Title
MD, Owner
Phone
(859) 374-3529

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X NU Primary

Addresses

Primary practice location

2285 Executive Dr Ste 110
Lexington, KY 40505-4810

Mailing address

533 Southpoint Dr
Lexington, KY 40515-5121
Phone (859) 374-3529

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1376447201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 SOUTHPOINT DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405155121",
            "telephone_number": "859-374-3529",
            "fax_number": "859-994-5736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2285 EXECUTIVE DR STE 110",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405054810",
            "telephone_number": "859-374-3529",
            "fax_number": "859-994-5736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXINGTON INTEGRATIVE SPORTS MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "NITHYANANDAM",
        "authorized_official_first_name": "SRIKANTH",
        "authorized_official_title_or_position": "MD, OWNER",
        "authorized_official_telephone_number": "859-374-3529"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NU",
            "license": null,
            "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 Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.