Shruthi Manjunatha Chandrashekhar Vijayalakshmi, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101250225 Issued in VA

Practice address

4191 Innslake Dr Ste 211
Glen Allen, VA 23060-3324

Phone

(804) 828-3144

Fax

(804) 628-7104

NPI assigned

Jul 28, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Shruthi Manjunatha Chandrashekhar Vijayalakshmi Professional name

Medicare fee-for-service enrollment

Enrolled in VA, GA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Internal Medicine

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Emory Clinic IncGroup PAC ID 8820901408, 3,507 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: schandrashekharvijayalaks1136122@direct.emory.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Emory Clinic Inc

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1396798229
  Medicare reassignment Care Compare group NPD
• Zoestyle Medicine

  • Obesity Medicine (Preventive Medicine) Physician
  • Glen Allen, VA
  • NPI 1518680966
  Medicare reassignment NPD
• Glutality Provider Group, P.a.

  • Internal Medicine Physician
  • Boca Raton, FL
  • NPI 1083256168

  VA

  Medicare reassignment NPD
• Southeastern Intensivist Services PC

  • Hospitalist Physician
  • West Memphis, AR
  • NPI 1912942665

  Internal Medicine, VA

  Medicare reassignment NPD
• Zoe Therapy Services, LLC

  • Multi-Specialty Clinic/Center
  • Glen Allen, VA
  • NPI 1215352521
  NPD
• MCV Associated Physicians

  • Anesthesiology Physician
  • Richmond, VA
  • NPI 1710959457
  NPD (past)
• Emory Health Care

  • Neurology Physician
  • Atlanta, GA
  • NPI 1376642751
  NPD (past)
• Inpatient Medical Services, P.a.

  • Internal Medicine Physician
  • Pasadena, TX
  • NPI 1104868975
  NPD (past)

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1497069702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4191 INNSLAKE DR STE 211",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603324",
            "telephone_number": "804-358-6100",
            "fax_number": "804-342-7619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4191 INNSLAKE DR STE 211",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603324",
            "telephone_number": "804-828-3144",
            "fax_number": "804-628-7104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDRASHEKHAR VIJAYALAKSHMI",
        "first_name": "SHRUTHI MANJUNATHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-28",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101250225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHRUTHI MANJUNATHA",
            "last_name": "CHANDRASHEKHAR VIJAYALAKSHMI",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Maila Hizola Celino, PT
• Center for Physical Therapy & Sports Medicine, PC
• Centerwell Senior Primary Care VA PLLC
• Central Virginia Disc Center
• CH Specialty Services VA LLC
• Peter Chang, DPT
• Joanna Chaplin, OTD, OTR/L
• Chapters Health Hospice, Inc.
• Andre Charles, DC
• Mallika R Chary, DDS

• Internal Medicine Physician in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.