Shailaja Potdar, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036159053 Issued in IL

Practice address

8321 W. Gold Rd.
Niles, IL 60714

Phone

(847) 720-3511

Fax

(847) 720-3511

NPI assigned

Aug 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

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 1

Specialty

Pediatric Medicine

Education

Other, 1976

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: shailaja.potdar.1@18313.direct.athenahealth.com

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.

• Asian Human Services Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1164439279
  Medicare reassignment NPD
• Asian Human Services Family Health Center

  • Health Educator
  • Chicago, IL
  • NPI 1174874788
  NPD
• Asian Human Services Family Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Skokie, IL
  • NPI 1013334002
  NPD
• Asian Human Services Family Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1609201060
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1992714117",
    "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": "800-597-5077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8321 W. GOLD RD.",
            "city": "NILES",
            "state": "IL",
            "postal_code": "60714",
            "telephone_number": "847-720-3511",
            "fax_number": "847-720-3511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8800 Lockwood Ave",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "600771500",
            "country_code": "US",
            "telephone_number": "847-983-1400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POTDAR",
        "first_name": "SHAILAJA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036159053",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "196775",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01769942",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR",
            "identifier": "370008549",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Jean Platt, PT
• Roger J Pogorzelski, DDS
• Polaris Labs LLC
• Camelia Denisia Pop, M.D.
• Margaret Porada
• Monica Potempa (Maso)
• James S Poulos, MD
• John D Poulos, DC
• Rebecca Powers
• Guntippar S Pratumngern, DO

• Pediatrics Physician in Niles, IL
• Providers in Niles, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.