Individual provider Active NPI

Sharmita A Misra, MD

  • Pediatrics Physician
  • Niles, IL
National Provider Identifier
1730171067
Registry record updated Sep 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036085278 Issued in IL
Practice address
8321 W Golf Rd
Niles, IL 60714-1113
Phone
(847) 720-3511
NPI assigned
Aug 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 036085278 IL
Pediatrics Physician 208000000X 036085278 IL Primary

Addresses

Primary practice location

8321 W Golf Rd
Niles, IL 60714-1113

Mailing address

6301 N Western Ave
Chicago, IL 60659-2009
Phone (773) 761-0300

Other identifiers 1

IdentifierTypeStateIssuer
036085278MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200423003065 IA Practitioner - Pediatric Medicine 0941630412 Reassigns benefits to 1 organization
I20240812001356 IL Practitioner - Pediatric Medicine 0941630412 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Health System Pediatrics CurrentSince Mar 14, 2025 Accepting new patients
Medical Associates of Clinton, Iowa P.L.C. Pediatrics Current Accepting new patients
St. Mary'S Hospital, Centralia, Illinois CurrentSince Feb 2, 2026 Accepting new patients
Good Samaritan Regional Health Center CurrentSince Feb 2, 2026 Accepting new patients
Mercy Specialty Clinic CurrentSince May 6, 2020 Accepting new patients
Genesis Health System CurrentSince Mar 14, 2025 Accepting new patients
Mercy Specialty Clinic CurrentSince May 6, 2020 Accepting new patients
St. Mary'S Hospital, Centralia, Illinois CurrentSince Feb 2, 2026 Accepting new patients
Carle Health Care Incorporated CurrentSince Mar 31, 2025 Accepting new patients

Locations

915 13th Ave N
Clinton, IA 52732
Phone (319) 243-2511

1351 W Central Park Ave
Ste 4100
Davenport, IA 52804
Phone (563) 355-9191

202 Picard St
Alpha, IL 61413
Phone (309) 629-4601

444 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5665

400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221

306 46th Ave
East Moline, IL 61244
Phone (309) 796-2329

1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600

801 Illini Dr
Silvis, IL 61282
Phone (309) 281-4000

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

Interoperability endpoints

  • Direct secure messaging: smisramd448263@carlehiedirect.net
  • Direct secure messaging: sharmita.misra.1@18313.direct.athenahealth.com

Organizations & group practices 11

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": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789171200000",
    "number": "1730171067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606592009",
            "telephone_number": "773-761-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8321 W GOLF RD",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607141113",
            "telephone_number": "847-720-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISRA",
        "first_name": "SHARMITA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-23",
        "last_updated": "2026-09-12",
        "certification_date": "2026-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "IL",
            "license": "036085278",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036085278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036085278",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

Verify at the official NPI Registry.