DR. SHRUTHI MANYA DERICKS DO
NPI 1285383489
Anesthesiology in Lafayette, IN
About Dr. Shruthi Manya Dericks Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHRUTHI MANYA DERICKS DO (NPI 1285383489) is an individual anesthesiology provider in Lafayette, Indiana, licensed in Indiana (02009207A) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Indianapolis, and is a graduate of Marian University College Of Osteopathic Medicine (2022).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Shruthi Manya Dericks Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shruthi Dericks reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Indianapolis, IN 46202
- Reassigned Medicare billing, Indiana enrollment
- 5,212 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAFAYETTE, IN 47905
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shruthi Dericks's NPI number?
The NPI number for Shruthi Dericks is 1285383489. It was assigned to this individual provider in the NPPES registry on March 23, 2022. The provider is also known as Dr. Shruthi Garugu Do.
Where is Shruthi Dericks located?
Shruthi Dericks practices at 5165 Mccarty Ln, Lafayette, IN 47905. The listed phone number is (765) 448-8000.
What is Shruthi Dericks's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Shruthi Dericks enrolled in Medicare?
Yes. Shruthi Dericks is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Shruthi Dericks's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shruthi Dericks reassigns Medicare benefits to Iu Health Medical Group, LLC (Indianapolis, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shruthi Dericks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Shruthi Dericks was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Shruthi Manya Dericks, DO · NPI 1285383489
Anesthesiology physician in Lafayette, Indiana. Individual provider, active in the CMS NPPES registry since March 23, 2022.
## Identity
- **NPI:** 1285383489 (Entity type: Individual)
- **Enumerated:** March 23, 2022
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** 02009207A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 5165 MCCARTY LN, Lafayette, IN 47905-8764
- **Phone:** (765) 448-8000 · **Fax:** (765) 838-4758
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Iu Health Medical Group, LLC (NPI 1326893777, Indianapolis, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Marian University College Of Osteopathic Medicine, class of 2022
## Record status
- **NPPES last updated:** September 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1285383489) · Data from the CMS NPPES public registry.