Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962024778 Individual Practitioner Female Practitioner

Dr. Shanu Preetha Moorthy , MD

Pediatrics • Flowood, MS

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Shanu Moorthy, MD is a certified Pediatrics practicing in Flowood, MS. With approximately 6 years of clinical experience since completing medical education in 2020, Dr. Moorthy delivers high-quality medical care to the local community at 205A BELLE MEADE PT.

Dr. Moorthy is affiliated with St. Dominic Medical Associates Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

205a Belle Meade Pt

Flowood, MS 392323311

Telephone 6012005678
Associated Practice Facility / Clinic
🏢 Amedisys Washington, L.l.c. Facility NPI 1790783504

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Flowood, MS

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs Matches City Avg
City Avg: 6.0 Yrs
State Avg: 19.1 Yrs
Regional Practice Density
14 Specialists

Practicing in Flowood, MS (436 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Moorthy (6 Years) 6 Yrs
Flowood Specialty Average (6.0 Years) 6.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-11-15
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MS 33023

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.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License SC 84112

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License SC 84112

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.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License MS 33023

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

St. Dominic Medical Associates Llc

106 Highland Way, Madison, MS 391106933

Secondary Practice Locations

2500 N State St

Jackson, MS 392164500

Phone: 6019844027

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1497042030

Doctor of Medicine (M.D.)

Shara Beckwith , CFNP

Nurse Practitioner - Family

NPI 1609864974
Sharon Henrikson , NP

Nurse Practitioner

NPI 1679186407

Nurse Practitioner

NPI 1932200151

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2025

Internal Medicine (License #84112 in SC)

📍
Updated Practice Location July 15, 2025

Registered at 205A BELLE MEADE PT, FLOWOOD, MS 392323311 (Tel: 6012005678)

📍
Updated Business Mailing Address July 15, 2025

Registered at 5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 708166038 (Tel: 6012005678)

📍
Updated Practice Location June 18, 2024

Registered at 2500 N STATE ST, JACKSON, MS 392164500 (Tel: 6019844027)

📍
Updated Business Mailing Address June 18, 2024

Registered at 2500 N STATE ST, JACKSON, MS 392164500 (Tel: 6019844027)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2024

Internal Medicine (License #33023 in MS)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2020

Internal Medicine (License #84112 in SC)

NPI Profile Active May 14, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location May 14, 2020

Registered at 701 GROVE RD, GREENVILLE, SC 296054210 (Tel: 8644557844)

📍
Updated Business Mailing Address May 14, 2020

Registered at 701 GROVE RD, GREENVILLE, SC 296054210 (Tel: 8644557844)

👤
Provider Name / Credentials Updated May 14, 2020

Recorded as SHANU MOORTHY, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 14, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 14, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962024778
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 14, 2020
Last Update: November 15, 2025
Sole Proprietor: Yes

Mailing Address

5959 S Sherwood Forest Blvd

Baton Rouge, LA 708166038

Phone: 6012005678

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.