SHAILAJA POTDAR MD - NPI 1992714117 - Pediatrics in Syracuse, NY

Q: 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.

Q: What is Shailaja Potdar's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shailaja Potdar was last updated on April 27, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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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 Syracuse, New York, licensed in New York (196775) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1976).

NPPES Registry Identity

NPI1992714117

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameSHAILAJA POTDARCredential: MD

Location Address311 GREEN STSyracuse, NY 13203-2911

Mailing Address311 Green StSyracuse, NY 13203-2911 · (315) 425-1431

Phone(315) 425-1431

Sole ProprietorNo

Medical School CMSOtherGraduated 1976

Enumeration DateAugust 5, 2006

Last NPPES UpdateApril 27, 2021

NPPES CertifiedApril 27, 2021

✔ NPI 1992714117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ 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.

311 GREEN ST, Syracuse, NY 13203

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Other Identifiers 2

Other370008549Rr

Medicaid01769942NY

Medicare Participation & PECOS CMS

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

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13203 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.