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DR. SHAILAJA ANTHARAM MD
NPI 1669114005
Internal Medicine in Hicksville, NY

Active since April 07, 2022PECOS EnrolledAccepts Medicare Assignment
232 W OLD COUNTRY RD STE A, HICKSVILLE, NY 11801(917) 310-3371(516) 938-1554 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 12, 2025, Apr 7, 2022 (2 updates tracked since 2022).

About Dr. Shailaja Antharam Md NPPES

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

DR. SHAILAJA ANTHARAM MD (NPI 1669114005) is an individual internal medicine provider in Hicksville, New York, licensed in New York (340594) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1669114005
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SHAILAJA ANTHARAMCredential: MD
Location Address232 W OLD COUNTRY RD STE AHicksville, NY 11801-4011
Mailing Address135 Mineola Blvd Fl 2Mineola, NY 11501-3917 · (917) 310-3371 · Fax (516) 938-1554
Phone(917) 310-3371
Fax(516) 938-1554
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 7, 2022
Last NPPES UpdateDecember 12, 20252 updates tracked since enumeration
NPPES CertifiedDecember 12, 2025
✔ NPI 1669114005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 340594
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
232 W OLD COUNTRY RD STE A, Hicksville, NY 11801
Open in Google Maps ↗

Secondary Practice Locations 2

Location 18268 164th StJamaica, NY 11432-1121 · Phone (718) 883-4583
Location 2135 Mineola Blvd Ste AMineola, NY 11501-3917 · Phone (917) 310-3371 · Fax (516) 938-1554

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Shailaja Antharam Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335634989
PECOS Enrollment IDI20251219003373
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MATTHEW SIEGEL PA
Physician Assistant
232 W OLD COUNTRY RD STE A
HICKSVILLE, NY 11801
Nassau County (917) 310-3371

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 Shailaja Antharam's NPI number?

The NPI number for Shailaja Antharam is 1669114005. It was assigned to this individual provider in the NPPES registry on April 7, 2022.

Where is Shailaja Antharam located?

Shailaja Antharam practices at 232 W Old Country Rd Ste A, Hicksville, NY 11801. The listed phone number is (917) 310-3371.

What is Shailaja Antharam's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Shailaja Antharam enrolled in Medicare?

Yes. Shailaja Antharam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Shailaja Antharam was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.