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SHAILAJA POTDAR MD
NPI 1992714117
Pediatrics in Niles, IL

Active since August 05, 2006PECOS Enrolled
8321 W. GOLD RD., NILES, IL 60714(847) 720-3511(847) 720-3511 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 19, 2026, Apr 27, 2021 (2 updates tracked since 2021).

About Shailaja Potdar Md NPPES

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

SHAILAJA POTDAR MD (NPI 1992714117) is an individual pediatrics provider in Niles, Illinois, licensed in Illinois (036159053) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Skokie, and is a graduate of Other (1976).

NPPES Registry Identity

NPI1992714117
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSHAILAJA POTDARCredential: MD
Location Address8321 W. GOLD RD.Niles, IL 60714
Mailing Address6301 N Western AveChicago, IL 60659-2009 · (800) 597-5077
Phone(847) 720-3511
Fax(847) 720-3511
Sole ProprietorNo
Medical School CMSOtherGraduated 1976
Enumeration DateAugust 5, 2006
Last NPPES UpdateAugust 19, 20262 updates tracked since enumeration
NPPES CertifiedAugust 19, 2026
✔ NPI 1992714117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in IL · 036159053✔ Licensed in NY · 196775
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.
8321 W. GOLD RD., Niles, IL 60714
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Secondary Practice Location 1

Location 18800 Lockwood AveSkokie, IL 60077-1500 · Phone (847) 983-1400

Other Identifiers 2

Medicaid01769942NY
Other370008549Rr

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shailaja Potdar Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032392543
PECOS Enrollment IDI20251030001624
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.

Medicare Billing Reassignment

Medicare enrollment records show Shailaja Potdar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Asian Human Services Family Health Center, Inc
1.8 mi
Federally Qualified Health Center (FQHC)
8321 W GOLF RD
Niles, IL 60714
  • Reassigned Medicare billing, Illinois enrollment
  • 23 clinicians in this Medicare group
NPI 1891162962 (773) 761-0010

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60714 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

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 Potdar's NPI number?

The NPI number for Shailaja Potdar is 1992714117. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Shailaja Potdar located?

Shailaja Potdar practices at 8321 W. Gold Rd., Niles, IL 60714. The listed phone number is (847) 720-3511.

What is Shailaja Potdar's specialty?

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

Is Shailaja Potdar enrolled in Medicare?

Yes. Shailaja Potdar is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shailaja Potdar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shailaja Potdar reassigns Medicare benefits to Asian Human Services Family Health Center, Inc (Niles, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shailaja Potdar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shailaja Potdar was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.