Individual provider Active NPI

Sanjana Shashidhar, OD

  • Pediatric Optometrist
  • Saint Louis, MO
National Provider Identifier
1922767078
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric OptometristTaxonomy code 152WP0200X
License
2021048811 Issued in MO
Practice address
1 Childrens PL
Dept Ophthalmology, Ste 3110
Saint Louis, MO 63110-1002
Phone
(314) 454-6026
Fax
(866) 936-4559
NPI assigned
Dec 15, 2021
Last updated
Sep 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Optometrist 152WP0200X 2021048811 MO Primary

Addresses

Primary practice location

1 Childrens PL
Dept Ophthalmology, Ste 3110
Saint Louis, MO 63110-1002

Mailing address

PO Box 7412011
Chicago, IL 60674-2011
Phone (314) 454-6026

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220214000200 MO Practitioner - Optometry 0840683991 Reassigns benefits to 3 organizations
I20221020001443 IL Practitioner - Optometry 0840683991 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington UniversityGroup PAC ID 9830008770, 2,968 clinicians
Premier Eye Care and Surgery LTDGroup PAC ID 6305826520, 8 clinicians

Practice addresses (Care Compare)

1 Childrens PL
Suite 3110
Saint Louis, MO 63110-1002
Phone (314) 454-6026

1120 W Lake Cook Rd
Suite C
Buffalo Grove, IL 60089-1970
Phone (847) 459-6060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046011695ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University CurrentSince Oct 1, 2025 Accepting new patients
Midwestern University Optometrist CurrentSince Aug 23, 2023 Accepting new patients
Premier Eye Care & Surgery LTD CurrentSince Sep 26, 2022 Accepting new patients
Midwestern University Current Accepting new patients
Curators of the University of Missouri Optometrist CurrentSince Jan 1, 2022 Accepting new patients
Curators of the University of Missouri CurrentSince Jan 1, 2022 Accepting new patients
Curators of the University of Missouri Optometrist CurrentSince Jan 1, 2022 Accepting new patients
Washington University CurrentSince Oct 1, 2025 Accepting new patients

Locations

27750 W Highway 22
Ste 200
Barrington, IL 60010
Phone (847) 382-4116

1120 W Lake Cook Rd
Buffalo Grove, IL 60089
Phone (847) 459-6060

1120 W Lake Cook Rd
Ste C
Buffalo Grove, IL 60089
Phone (847) 459-6060

26520 Network Pl
Chicago, IL 60673
Phone (630) 743-4500

3450 Lacey Rd
Downers Grove, IL 60515
Phone (630) 743-4500

3450 Lacey Rd
Ste 211
Downers Grove, IL 60515
Phone (630) 743-4500

3450 Lacey Rd
Ste 602
Downers Grove, IL 60515
Phone (630) 743-4500

1 Childrens Pl
Ste 3110
Saint Louis, MO 63110
Phone (314) 454-6026

1 University Blvd
Saint Louis, MO 63121
Phone (314) 516-5131

3940 Lindell Blvd
Saint Louis, MO 63108
Phone (314) 516-5016

4901 Forest Park Ave
Fl 6
Saint Louis, MO 63108

5114 Mid America Plz
Ste 3A
Saint Louis, MO 63129
Phone (314) 454-6120

7840 Natural Bridge Rd
Saint Louis, MO 63121
Phone (314) 382-6400

Interoperability endpoints

  • Direct secure messaging: sanjana.shashidhar.p1@direct.midwesternuniversity.nextgenshare.com
  • Direct secure messaging: sshashidhar@premiereyecare.imwdirect.com
  • Direct secure messaging: sshashidhar19804@direct.midwestern.edu

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1639526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1922767078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412011",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742011",
            "telephone_number": "314-454-6026",
            "fax_number": "866-936-4559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHILDRENS PL",
            "address_2": "DEPT OPHTHALMOLOGY, STE 3110",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101002",
            "telephone_number": "314-454-6026",
            "fax_number": "866-936-4559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHASHIDHAR",
        "first_name": "SANJANA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-15",
        "last_updated": "2025-09-30",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "MO",
            "license": "2021048811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "1 Childrens Pl",
            "address_2": "Dept Ophthalmology, Ste 3110",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631101002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.