Active NPI
Chenthan Krishnakumar, MD
- Pediatric Gastroenterology Physician
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- TP458
- Practice address
- 740 S Limestone Ste K201
Lexington, KY 40536-4637 - Phone
- (859) 323-6211
- Fax
- (859) 257-0491
- NPI assigned
- Mar 21, 2019
- Last updated
- Jun 10, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | 39679 | OK | |
| Pediatric Gastroenterology Physician | 2080P0206X | TP458 | KY | Primary |
Addresses
Primary practice location
740 S Limestone Ste K201
Lexington, KY 40536-4637
Mailing address
625 NW 182ND St
Edmond, OK 73012-4582
Phone (224) 302-2740
Other practice location 1
1200 Childrens Ave # 14400
Oklahoma City, OK 73104-4637
Phone (405) 271-5312
Other practice location 2
111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-2345
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6700889 | Medicaid | VT |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39679 | OK | MD | Pediatric Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentucky Medical Services Foundation, Inc | Current | Accepting new patients | |
| University of Kentucky | Current | Accepting new patients |
Locations
2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800
800 Rose St
Lexington, KY 40536
Phone (859) 257-8562
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749513600000",
"number": "1619437290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 NW 182ND ST",
"city": "EDMOND",
"state": "OK",
"postal_code": "730124582",
"telephone_number": "224-302-2740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 S LIMESTONE STE K201",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405364637",
"telephone_number": "859-323-6211",
"fax_number": "859-257-0491"
}
],
"practiceLocations": [
{
"address_1": "1200 Childrens Ave # 14400",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731044637",
"country_code": "US",
"telephone_number": "405-271-5312",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "111 Colchester Ave",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "VT",
"postal_code": "054011473",
"country_code": "US",
"telephone_number": "802-847-2345",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRISHNAKUMAR",
"first_name": "CHENTHAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-21",
"last_updated": "2025-06-10",
"certification_date": "2025-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "OK",
"license": "39679",
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "KY",
"license": "TP458",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6700889",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
- Sandra Jeanette Kremer
- Jessica Kress, DMD
- Stacey Graham Kress, DMD
- Christian Kressin, PHARMD
- Ashwin Subramani Krishna, MD
- Kristen Mews, LPC, LLC
- Kroger Limited Partnership I (Kroger Pharmacy)
- Kroger Limited Partnership I (Kroger Pharmacy #797)
- Kroger Limited Partnership I (Kroger Pharmacy)
- Kroger Limited Partnership I (Kroger Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.