1. Home
  2. Directory
  3. Mississippi
  4. Flowood
  5. Pediatrics
  6. NPI Profile

SHANU PREETHA MOORTHY MD
NPI 1962024778
Pediatrics in Flowood, MS

Active since May 14, 2020PECOS EnrolledAccepts Medicare Assignment
205A BELLE MEADE PT, FLOWOOD, MS 39232(601) 200-5678 Get Directions Write a Review

NPPES record last updated: November 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 15, 2025, Jun 18, 2024, Jul 31, 2020 and 1 more (4 updates tracked since 2020).

About Shanu Preetha Moorthy Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANU PREETHA MOORTHY MD (NPI 1962024778) is an individual pediatrics provider in Flowood, Mississippi, licensed in Mississippi (33023) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with St Dominic-jackson Memorial Hospital, and maintains a secondary practice location in Jackson.

NPPES Registry Identity

NPI1962024778
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSHANU PREETHA MOORTHYCredential: MD
Location Address205A BELLE MEADE PTFlowood, MS 39232-3311
Mailing Address5959 S Sherwood Forest BlvdBaton Rouge, LA 70816-6038 · (601) 200-5678
Phone(601) 200-5678
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMay 14, 2020
Last NPPES UpdateNovember 15, 20254 updates tracked since enumeration
NPPES CertifiedNovember 15, 2025
✔ NPI 1962024778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in MS · 33023✔ Licensed in SC · 84112
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedInternal MedicineTaxonomy 207R00000X · License 84112 (SC), 33023 (MS)
205A BELLE MEADE PT, Flowood, MS 39232
Open in Google Maps ↗

Secondary Practice Location 1

Location 12500 N State StJackson, MS 39216-4500 · Phone (601) 984-4027

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shanu Preetha Moorthy Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749606200
PECOS Enrollment IDI20240722002434
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Dominic-Jackson Memorial Hospital

Acute Care Hospitals · Jackson, MS
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number250048
Location969 Lakeland DrJackson, MS 39216 · Hinds County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39232 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERT WAYNE BESINGER M.D.
Pediatrics
205A BELLE MEADE PT
FLOWOOD, MS 39232
Rankin County (601) 200-5678
SHARA M BECKWITH CFNP
Nurse Practitioner (Family)
205A BELLE MEADE PT
FLOWOOD, MS 39232
Rankin County (601) 200-5678
SHARON D HENRIKSON NP
Nurse Practitioner
205A BELLE MEADE PT
FLOWOOD, MS 39232
Rankin County (601) 200-5678
REBEKAH MOULDER M.D.
Family Medicine
205A BELLE MEADE PT
FLOWOOD, MS 39232
Rankin County (601) 200-5678

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 Shanu Moorthy's NPI number?

The NPI number for Shanu Moorthy is 1962024778. It was assigned to this individual provider in the NPPES registry on May 14, 2020.

Where is Shanu Moorthy located?

Shanu Moorthy practices at 205A Belle Meade Pt, Flowood, MS 39232. The listed phone number is (601) 200-5678.

What is Shanu Moorthy's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Shanu Moorthy enrolled in Medicare?

Yes. Shanu Moorthy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shanu Moorthy accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Shanu Moorthy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Shanu Moorthy affiliated with any hospitals?

According to CMS data, Shanu Moorthy is affiliated with St Dominic-Jackson Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Shanu Moorthy was last updated on November 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.