Tejasi Adavadkar-Gholap, M.D. – Pediatrics Physician

Key facts

NPI: 1992940274
Entity type: Individual (NPI type 1)
Primary specialty: Pediatrics Physician 208000000X
License: 036.125306 (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
Sex: Female
Sole proprietor: Yes

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 and National Provider Directory roles.

Dupage Medical Group LTD Multi-Specialty Clinic/Center · Downers Grove, IL · NPI 1801833983

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Enrolled in IL
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20160308002359	IL	Order and Referring Only - Pediatric Medicine Practitioner - Pediatric Medicine	2163728783

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
036.125306	IL	MD	Pediatrics Physician
54918-020	WI	MD	Pediatrics Physician

Practice roles

Organization	Specialty	Status	New patients
Dupage Medical Group LTD		Past	Accepting new patients

Interoperability endpoints

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

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pediatrics Physician	208000000X	54918-020	WI
Pediatrics Physician	208000000X	036.125306	IL	Yes

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

Tejasi Adavadkar Other name

Electronic endpoints

Type	Endpoint	Use	Affiliation
Direct Messaging Address	tgholap312981@dulyhealthandcare.direct-ci.com	Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 12, 2026.

{
    "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

All providers in St Charles, IL · Pediatrics Physician in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2026. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.