Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Shailaja Antharam, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1669114005

Dr. Shailaja Antharam, MD is an Internal Medicine in Hicksville, New York. Qualified in 2014, 12 years ago. Practices with Hicksville Family Medical Care PLLC, a 45-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2022
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

232 W Old Country Rd Ste A
Hicksville, NY 11801-4011
Phone: (917) 310-3371
Fax: (516) 938-1554
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 8268 164th St, Jamaica, NY 11432-1121 — (718) 883-4583
  • 135 Mineola Blvd Ste A, Mineola, NY 11501-3917 — (917) 310-3371

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 340594 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1669114005
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 7, 2022
Last updated in NPPESDecember 12, 2025
Certification dateDecember 12, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Hicksville Family Medical Care Pllc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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