Individual provider Active NPI

Srikanth Nithyanandam, M.B.B.S

  • Family Medicine Physician
  • Lexington, KY
National Provider Identifier
1962887778
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
51672 Issued in KY
Practice address
2285 Executive Dr Ste 110
Lexington, KY 40505-4810
Phone
(859) 374-3529
Fax
(859) 994-5736
NPI assigned
Jul 22, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 51672 KY Primary
Sports Medicine (Family Medicine) Physician 207QS0010X 51672 KY

Addresses

Primary practice location

2285 Executive Dr Ste 110
Lexington, KY 40505-4810

Mailing address

2285 Executive Dr Ste 110
Lexington, KY 40505-4810
Phone (859) 550-3796

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200612000813 KY Practitioner - Sports MedicinePractitioner - Family Practice 3870881931 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kentucky Medical Services Foundation, IncGroup PAC ID 5698689909, 949 clinicians

Practice addresses (Care Compare)

2195 Harrodsburg Rd
Lexington, KY 40504-3504
Phone (859) 257-1000

Hospital & facility affiliations

  • University of Kentucky Hospital Hospital, Lexington, KY, CCN 180067
  • Georgetown Community Hospital Hospital, Georgetown, KY, CCN 180101
  • Baptist Health Lexington Hospital, Lexington, KY, CCN 180103

Merit-based Incentive Payment System (MIPS)

Final score
85.77 of 100Reported as group
Quality
68.25
Promoting interoperability
100
Improvement activities
40
Cost
72.39

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kentucky CurrentSince Aug 11, 2023 Accepting new patients
Kentucky Medical Services Foundation, Inc Family Medicine CurrentSince Jul 1, 2020 Accepting new patients

Locations

202 Bevins Ln
Georgetown, KY 40324
Phone (859) 323-9333

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

2195 Harrodsburg Rd
Lexington, KY 40504
Phone (859) 323-2232

2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800

2195 Harrodsburg Rd
Ste 125
Lexington, KY 40504
Phone (859) 257-4732

Interoperability endpoints

  • Direct secure messaging: snithyanandam34133@ukhcdirect.org

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1962887778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2285 EXECUTIVE DR STE 110",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405054810",
            "telephone_number": "859-550-3796",
            "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": {
        "last_name": "NITHYANANDAM",
        "first_name": "SRIKANTH",
        "credential": "M.B.B.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-22",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "51672",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "KY",
            "license": "51672",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.