Individual provider Active NPI

Renuka S. Moothathu, M.D.

  • Psychiatry Physician
  • Richmond, VA
National Provider Identifier
1891782348
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101053102 Issued in VA
Practice address
5855 Bremo Rd
Suite 210
Richmond, VA 23226-1926
Phone
(804) 282-0655
Fax
(804) 282-0717
NPI assigned
Sep 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0101053102 VA Primary

Addresses

Primary practice location

5855 Bremo Rd
Suite 210
Richmond, VA 23226-1926

Mailing address

5855 Bremo Rd
Suite 210
Richmond, VA 23226-1926
Phone (804) 282-0655

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
I20060320000683 VA Practitioner - Psychiatry 1658388442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Insight Physicians PCGroup PAC ID 2860394178, 28 clinicians

Practice addresses (Care Compare)

2621 Grove Ave
Richmond, VA 23220-4308
Phone (804) 288-1881

2810 N Parham Rd
Suite 120
Richmond, VA 23294-4422
Phone (804) 288-4881

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101053102VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Physicians PC Psychiatry CurrentSince May 13, 1996 Accepting new patients

Locations

804 Moorefield Park Dr
Ste 108
North Chesterfield, VA 23236
Phone (804) 323-8282

2006 Bremo Rd
Ste 101
Richmond, VA 23226
Phone (804) 282-9425

2621 Grove Ave
Richmond, VA 23220
Phone (804) 252-5433

2810 N Parham Rd
Ste 120
Richmond, VA 23294

5855 Bremo Rd
Ste 210
Richmond, VA 23226
Phone (804) 282-0655

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1891782348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5855 BREMO RD",
            "address_2": "SUITE 210",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261926",
            "telephone_number": "804-282-0655",
            "fax_number": "804-282-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5855 BREMO RD",
            "address_2": "SUITE 210",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261926",
            "telephone_number": "804-282-0655",
            "fax_number": "804-282-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOTHATHU",
        "first_name": "RENUKA",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101053102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.