Active NPI
Sharmita A Misra, MD
- Pediatrics Physician
- Niles, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036085278
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036085278 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Health System | Pediatrics | Current | Accepting new patients |
| Medical Associates of Clinton, Iowa P.L.C. | Pediatrics | Current | Accepting new patients |
| St. Mary'S Hospital, Centralia, Illinois | Current | Accepting new patients | |
| Good Samaritan Regional Health Center | Current | Accepting new patients | |
| Mercy Specialty Clinic | Current | Accepting new patients | |
| Genesis Health System | Current | Accepting new patients | |
| Mercy Specialty Clinic | Current | Accepting new patients | |
| St. Mary'S Hospital, Centralia, Illinois | Current | Accepting new patients | |
| Carle Health Care Incorporated | Current | 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
- smisramd448263@carlehiedirect.net
- 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.
-
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- Multi-Specialty Clinic/Center
- Clinton, IA
- NPI 1386832764
-
- Emergency Medicine Physician
- Mount Vernon, IL
- NPI 1487758801
-
- Emergency Medicine Physician
- Centralia, IL
- NPI 1770687196
-
- Community/Retail Pharmacy
- Mount Vernon, IL
- NPI 1316282163
-
- Anesthesiology Physician
- Centralia, IL
- NPI 1477097871
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Centralia, IL
- NPI 1710105192
-
- Critical Access Hospital
- De Witt, IA
- NPI 1649368523
-
- Family Medicine Physician
- Clinton, IA
- NPI 1841244431
Pediatrics
-
- Family Medicine Physician
- Clinton, IA
- NPI 1275197998
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.