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DR. SHRUTHI MANYA DERICKS DO
NPI 1285383489
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since March 23, 2022PECOS Enrolled
1130 W MICHIGAN ST, INDIANAPOLIS, IN 46202(317) 274-0076 Get Directions Write a Review

NPPES record last updated: June 12, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 12, 2023, Apr 4, 2023 (2 updates tracked since 2023).

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 student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285383489
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. SHRUTHI MANYA DERICKSCredential: DO
Location Address1130 W MICHIGAN STIndianapolis, IN 46202-5209
Mailing Address1130 W Michigan StIndianapolis, IN 46202-5209
Phone(317) 274-0076
Sole ProprietorNo
Enumeration DateMarch 23, 2022
Last NPPES UpdateJune 12, 20232 updates tracked since enumeration
NPPES CertifiedJune 12, 2023
✔ NPI 1285383489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1130 W MICHIGAN ST, Indianapolis, IN 46202
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Other Names 1

Former Name (1)Dr. Shruthi Garugu Do

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shruthi Manya Dericks Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

DR. JOHNATHAN MICHAEL KELLER DDS
Dentist
1130 W MICHIGAN ST, FH204
INDIANAPOLIS, IN 46202
Marion County (317) 274-0076
MICHEAL DREW SCHMIDT
Anesthesiology
1130 W MICHIGAN ST, FESLER HALL ROOM 204
INDIANAPOLIS, IN 46202
Marion County (317) 274-0275
DR. CORINNA JENNIFER YU MD
Anesthesiology
1130 W MICHIGAN ST, SUITE 204
INDIANAPOLIS, IN 46202
Marion County (317) 274-0250
CLAYRE TANIS-ARENS DO
Anesthesiology
1130 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Marion County (317) 274-4343
DR. ALEX J SERAFIN M.D.
Anesthesiology
1130 W MICHIGAN ST, FESLER HALL 204
INDIANAPOLIS, IN 46202
Marion County (317) 274-0275
AARON G NAJI MD
Internal Medicine
1130 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Marion County (317) 274-8282
DR. DANIEL ROBERT GERMEROTH DO
Anesthesiology (Pediatric Anesthesiology)
1130 W MICHIGAN ST, FH202
INDIANAPOLIS, IN 46202
Marion County (317) 274-0076
CLAYTON CULP MD
Student in an Organized Health Care Education/Training Program
1130 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Marion County (317) 274-0275

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 1130 W Michigan St, Indianapolis, IN 46202. The listed phone number is (317) 274-0076.

What is Shruthi Dericks's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shruthi Dericks enrolled in Medicare?

Yes. Shruthi Dericks is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shruthi Dericks was last updated on June 12, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.