Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Dr. Shruthi Manya Dericks, DO

Individual provider Anesthesiology Physician · NPI 1285383489

Dr. Shruthi Manya Dericks, DO is an Anesthesiology Physician in Lafayette, Indiana. Works from 2 locations. Licensed in Indiana.

Licensed in
IN
In the registry since
2022
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

5165 McCarty Ln
Lafayette, IN 47905-8764
Phone: (765) 448-8000
Fax: (765) 838-4758
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1130 W Michigan St, Indianapolis, IN 46202-5209 — (317) 274-0076

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 02009207A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1285383489
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 23, 2022
Last updated in NPPESSeptember 2, 2026
Certification dateSeptember 2, 2026

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