Active NPI
Lexington Integrative Sports Medicine PLLC
- Sports Medicine (Family Medicine) Physician
- Lexington, KY
National Provider Identifier
1376447201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Srikanth Nithyanandam
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
-
- Family Medicine Physician
- Lexington, KY
- NPI 1962887778
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
- Lexington Healthcare, LLC
- Lexington Hearing and Speech Center Inc. (The Hearing & Speech Center)
- Lexington Hearing and Speech Center Inc.
- Lexington Heart Specialists, PSC
- Lexington Infectious Disease Consultants PSC
- Lexington Medical Group Corp
- Lexington Medical Supply, Inc.
- Lexington Medical Tattooing
- Lexington Neurosciences Center PLLC
- Lexington OB GYN Associates PSC
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.