Individual provider Active NPI

Tejasi Adavadkar-Gholap, M.D.

  • Pediatrics Physician
  • St Charles, IL
National Provider Identifier
1992940274
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036.125306 Issued in IL
Practice address
3310 W Main St Ste 100
St Charles, IL 60175-1024
Phone
(630) 348-3100
Fax
(630) 513-0727
NPI assigned
Dec 15, 2008
Last updated
Jan 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 54918-020 WI
Pediatrics Physician 208000000X 036.125306 IL Primary

Addresses

Primary practice location

3310 W Main St Ste 100
St Charles, IL 60175-1024

Mailing address

PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-9200

Other practice location 1

400 N Highland Ave
Aurora, IL 60506-3814
Phone (630) 892-4355

Other names 1

  • Tejasi Adavadkar Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tgholap312981@dulyhealthandcare.direct-ci.com Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160308002359 IL Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 2163728783

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.125306ILMDPediatrics Physician
54918-020WIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dupage Medical Group LTD Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tgholap312981@dulyhealthandcare.direct-ci.com
  • Direct secure messaging: tgholap591057@direct.ochin.org

Organizations & group practices 1

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": "1229299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1992940274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713260",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606771260",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 W MAIN ST STE 100",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601751024",
            "telephone_number": "630-348-3100",
            "fax_number": "630-513-0727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 N Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "IL",
            "postal_code": "605063814",
            "country_code": "US",
            "telephone_number": "630-892-4355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAVADKAR-GHOLAP",
        "first_name": "TEJASI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-15",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "54918-020",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036.125306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tgholap312981@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3310 W Main St Ste 100",
            "city": "St Charles",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601751024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TEJASI",
            "last_name": "ADAVADKAR",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in St Charles, IL

Sources for this page

Verify at the official NPI Registry.