Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shanu Preetha Moorthy, MD

Individual provider Internal Medicine Physician · NPI 1962024778

Shanu Preetha Moorthy, MD is a Pediatric Medicine in Flowood, Mississippi. Qualified in 2020, 6 years ago. Practices with St Dominic Medical Associates LLC, a 127-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi and South Carolina.

Years since qualifying
6
Licensed in
MS, SC
In the registry since
2020
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

205A Belle Meade Pt
Flowood, MS 39232-3311
Phone: (601) 200-5678
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2500 N State St, Jackson, MS 39216-4500 — (601) 984-4027

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 33023 (MS)
Internal Medicine Physician Taxonomy 207R00000X · Licence 84112 (SC)
Pediatrics Physician Taxonomy 208000000X · Licence 84112 (SC)
Internal Medicine Physician Taxonomy 207R00000X · Licence 33023 (MS)

Record details

NPI number1962024778
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 14, 2020
Last updated in NPPESNovember 15, 2025
Certification dateNovember 15, 2025
Mailing address5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice St. Dominic Medical Associates Llc — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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