Shruti Dhirendra Vasani, B.D.S, M.P.H, AEGD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.035555 Issued in IL

Practice address

2239 E Cook St
Springfield, IL 62703-1944

Phone

(217) 788-2300

NPI assigned

Oct 17, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1396566824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CANDLEWOOD DR APT 11",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627048010",
            "telephone_number": "601-926-7854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2239 E COOK ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627031944",
            "telephone_number": "217-788-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASANI",
        "first_name": "SHRUTI",
        "middle_name": "DHIRENDRA",
        "name_prefix": "Dr.",
        "credential": "B.D.S, M.P.H, AEGD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-17",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.035555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew J Varney, M.D.
• Brittany Varney, M.D.
• Jacob Varney, M.D.
• Riya Varughese Raju, MD
• Anna M Varvel, CRNA
• Cara E Vasconcelles, M.D.
• Ryan Vasconcelles, MD
• Mostafa Vasigh, MD
• Prasad Vasireddy, MD
• Syam Vasireddy, MD, MS

• General Practice Dentistry in Springfield, IL
• Providers in Springfield, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.