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DR. KAUSHIK JAYANTILAL PANDYA M.D.
NPI 1396719803
Pediatrics in Tinley Park, IL

Active since February 14, 2006CLIA 14D0420495 · Waiver
17029 HARLEM AVE, TINLEY PARK, IL 60477(708) 532-8800(708) 532-5330 Get Directions Write a Review

NPPES record last updated: December 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kaushik Jayantilal Pandya M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KAUSHIK JAYANTILAL PANDYA M.D. (NPI 1396719803) is an individual pediatrics provider in Tinley Park, Illinois, licensed in Illinois (036-062045) and active in the NPI registry since February 2006. He holds a CLIA Waiver certificate valid through April 10, 2028.

NPPES Registry Identity

NPI1396719803
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. KAUSHIK JAYANTILAL PANDYACredential: M.D.
Location Address17029 HARLEM AVETinley Park, IL 60477-2739
Mailing Address17029 Harlem AveTinley Park, IL 60477-2739 · (708) 532-8800 · Fax (708) 532-5330
Phone(708) 532-8800
Fax(708) 532-5330
Sole ProprietorYes
Enumeration DateFebruary 14, 2006
Last NPPES UpdateDecember 11, 2021
NPPES CertifiedDecember 11, 2021
✔ NPI 1396719803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 036-062045
Definition
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.
17029 HARLEM AVE, Tinley Park, IL 60477
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Other Identifiers 1

Medicaid036062045IL

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0420495

Kaushik Pandya MD · Tinley Park, IL
Active · expires Apr 10, 2028
CLIA Number14D0420495
Laboratory TypePhysician Office
Certificate Effective DateApril 11, 2026
Certificate Expiration DateApril 10, 2028
Laboratory DirectorKaushik J. Pandya MD
Laboratory Phone(708) 532-8800
Laboratory LocationKaushik Pandya MD17029 S Harlem Ave, Tinley Park, IL 60477
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaushik Pandya's NPI number?

The NPI number for Kaushik Pandya is 1396719803. It was assigned to this individual provider in the NPPES registry on February 14, 2006.

Where is Kaushik Pandya located?

Kaushik Pandya practices at 17029 Harlem Ave, Tinley Park, IL 60477. The listed phone number is (708) 532-8800.

What is Kaushik Pandya's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Kaushik Pandya hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0420495) is associated with this NPI, valid through April 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kaushik Pandya was last updated on December 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.