Individual provider Active NPI

Shruthi Janardhanan, M.D.

  • Internal Medicine Physician
  • Richmond, VA
National Provider Identifier
1750947347
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101280430 Issued in VA
Practice address
1712 E Broad St
Richmond, VA 23223-6930
Phone
(804) 344-9848
NPI assigned
May 20, 2019
Reactivated
Jan 28, 2020
Last updated
Jun 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X 0101280430 VA Primary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X ME157581 FL

Addresses

Primary practice location

1712 E Broad St
Richmond, VA 23223-6930

Mailing address

104 Cranberry Rd
Galax, VA 24333-2682
Phone (276) 773-2063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240801003147 VA Practitioner - Internal Medicine 8022454644 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

104 Cranberry Rd
Suite 200a
Galax, VA 24333-0009
Phone (276) 236-5187

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101280430VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Twin County Physician Practices LLC CurrentSince Aug 15, 2024 Accepting new patients
PMR Virginia Holding, LLC CurrentSince Dec 1, 2025 Accepting new patients
DLP Twin County Physician Practices LLC Current Accepting new patients
DLP Twin County Physician Practices LLC Hospice and Palliative Medicine CurrentSince Aug 15, 2024 Accepting new patients
DLP Twin County Physician Practices LLC Internal Medicine Past Accepting new patients
Jencare Neighborhood Medical East Richmond, LLC Internal Medicine PastSince Sep 4, 2012 Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

104 Cranberry Rd
Ste 200A
Galax, VA 24333
Phone (276) 236-9953

961 E Stuart Dr
Galax, VA 24333
Phone (276) 236-3931

1712 E Broad St
Richmond, VA 23223
Phone (804) 344-9848

3806 Mechanicsville Tpke
Richmond, VA 23223
Phone (804) 228-1143

Interoperability endpoints

  • Direct secure messaging: shruthi.janardhanan.1@10112.direct.athenahealth.com

Organizations & group practices 6

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1750947347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 CRANBERRY RD",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332682",
            "telephone_number": "276-773-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 E BROAD ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232236930",
            "telephone_number": "804-344-9848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANARDHANAN",
        "first_name": "SHRUTHI",
        "name_prefix": "Miss",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "deactivation_date": "2020-01-13",
        "reactivation_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101280430",
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "FL",
            "license": "ME157581",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.