Active NPI
Sreekanthan Sundararaghavan, MBBS, DCH
- Pediatric Cardiology Physician
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- TP680
- Practice address
- 740, S Limestone Second Floor Wind D Room L203
Lexington, KY 40536-0001 - Phone
- (859) 323-6754
- Fax
- (859) 323-3499
- NPI assigned
- Jul 25, 2025
- Last updated
- Oct 6, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 Cardiology Physician | 2080P0202X | TP680 | KY | Primary |
| Pediatric Cardiology Physician | 2080P0202X | 35.077143 | OH |
Addresses
Primary practice location
740, S Limestone Second Floor Wind D Room L203
Lexington, KY 40536-0001
Mailing address
3417 Burch Ave
Cincinnati, OH 45208-2003
Phone (859) 323-6754
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
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 1991
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
115 Waller Ave
Suite 209
Lexington, KY 40503-1035
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TP680 | KY | MD | Pediatric Cardiology Physician |
| 35.077143 | OH | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Kentucky | Multi-Specialty | Current | Accepting new patients |
| Kentucky Medical Services Foundation, Inc | Multi-Specialty | 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.
-
- Internal Medicine Physician
- Lexington, KY
- NPI 1326091448
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759708800000",
"number": "1699657957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3417 BURCH AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452082003",
"telephone_number": "859-323-6754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740, S LIMESTONE SECOND FLOOR WIND D ROOM L203",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405360001",
"telephone_number": "859-323-6754",
"fax_number": "859-323-3499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUNDARARAGHAVAN",
"first_name": "SREEKANTHAN",
"credential": "MBBS, DCH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-07-25",
"last_updated": "2025-10-06",
"certification_date": "2025-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "KY",
"license": "TP680",
"primary": true
},
{
"code": "2080P0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "OH",
"license": "35.077143",
"primary": false
}
],
"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 6, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.