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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SHRUTHI MANYA DERICKS DO
NPI 1285383489
Anesthesiology in Lafayette, IN

Active since March 23, 2022PECOS Enrolled
5165 MCCARTY LN, LAFAYETTE, IN 47905(765) 448-8000(765) 838-4758 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 2, 2026, Jun 12, 2023, Apr 4, 2023 (3 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 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

NPI1285383489
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameDR. SHRUTHI MANYA DERICKSCredential: DO
Location Address5165 MCCARTY LNLafayette, IN 47905-8764
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Phone(765) 448-8000
Fax(765) 838-4758
Sole ProprietorNo
Medical School CMSMarian University College Of Osteopathic MedicineGraduated 2022
Enumeration DateMarch 23, 2022
Last NPPES UpdateSeptember 2, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2026
✔ NPI 1285383489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in IN · 02009207A
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5165 MCCARTY LN, Lafayette, IN 47905
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Other Names 1

Former Name (1)Dr. Shruthi Garugu Do

Secondary Practice Location 1

Location 11130 W Michigan StIndianapolis, IN 46202-5209 · Phone (317) 274-0076

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).

PECOS PAC ID6901264571
PECOS Enrollment IDI20260812000481
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.

DANI'EL N MCKILLIP RN
Registered Nurse (Obstetric, Inpatient)
5165 MCCARTY LN
LAFAYETTE, IN 47905
Tippecanoe County (765) 448-8000
ABIGAIL ANN CRUM FNP-BC
Nurse Practitioner (Family)
5165 MCCARTY LN
LAFAYETTE, IN 47905
Tippecanoe County (765) 448-8000
DR. ZANDRA D'HUE M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
5165 MCCARTY LN
LAFAYETTE, IN 47905
Tippecanoe County (765) 838-5008
MARIA L SROUR MD
Internal Medicine (Critical Care Medicine)
5165 MCCARTY LN
LAFAYETTE, IN 47905
Tippecanoe County (765) 448-8000
SEAN PAUL BURNETT RD
Dietitian, Registered
5165 MCCARTY LN
LAFAYETTE, IN 47905
Tippecanoe County (765) 448-8000
HARMONY STINE NP
Nurse Practitioner (Family)
5165 MCCARTY LN
LAFAYETTE, IN 47905
Tippecanoe County (765) 448-8000
CARLY RAE ALLEN DO
Emergency Medicine
5165 MCCARTY LN
LAFAYETTE, IN 47905
Tippecanoe County (586) 665-6500
DR. ALFRED BESONG ASHU MD
Anesthesiology
5165 MCCARTY LN
LAFAYETTE, IN 47905
Tippecanoe County (765) 448-8000

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.

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 45 days 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.