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SIDDHARTH SRIVASTAVA
NPI 1255658209
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Boston, MA

Active since April 30, 2010PECOS EnrolledAccepts Medicare Assignment
300 LONGWOOD AVE, BOSTON, MA 02115(617) 355-6388 Get Directions Write a Review

NPPES record last updated: August 31, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 31, 2017, Mar 29, 2017 (2 updates tracked since 2017).

About Siddharth Srivastava NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SIDDHARTH SRIVASTAVA (NPI 1255658209) is an individual neurology with special qualifications in child neurology provider in Boston, Massachusetts, licensed in Massachusetts (250619) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS and is a graduate of Johns Hopkins University School Of Medicine (2010).

NPPES Registry Identity

NPI1255658209
Entity TypeIndividualMale
Primary Taxonomy2084N0402X
Provider Legal NameSIDDHARTH SRIVASTAVA
Location Address300 LONGWOOD AVEBoston, MA 02115-5724
Mailing Address300 Longwood AveBoston, MA 02115-5724 · (617) 355-6388
Phone(617) 355-6388
Sole ProprietorYes
Medical School CMSJohns Hopkins University School Of MedicineGraduated 2010
Enumeration DateApril 30, 2010
Last NPPES UpdateAugust 31, 20172 updates tracked since enumeration
✔ NPI 1255658209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
License✔ Licensed in MA · 250619
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Also ListedPediatricsTaxonomy 208000000X · License 265457 (MA)
300 LONGWOOD AVE, Boston, MA 02115
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Siddharth Srivastava is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274784830
PECOS Enrollment IDI20171117001989
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIE ANN HANSEN LCSW
Social Worker (Clinical)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (857) 218-4309
MS. ANNA ROGLIERI
Nurse Practitioner (Psychiatric/Mental Health)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000
STEPHEN G. FLYNN M.D.
Anesthesiology (Pediatric Anesthesiology)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000
MISS LAUREN ASHLEY MASTERSON P.T., D.P.T
Physical Therapist
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-7216
MS. SOYUN KWAN LICSW
Social Worker (Clinical)
300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON
BOSTON, MA 02115
Suffolk County (617) 355-0567
PUJA BANKA M.D.
Pediatrics
300 LONGWOOD AVE, BADER 203
BOSTON, MA 02115
Suffolk County (617) 355-6363
MR. COURTNEY SULLIVAN FRATTO CPNP
Nurse Practitioner (Pediatrics)
300 LONGWOOD AVE, HUNNEWELL BUILDING 322
BOSTON, MA 02115
Suffolk County (857) 218-4085
DR. ELIZABETH S TAGLAUER M.D., PH.D.
Pediatrics (Neonatal-Perinatal Medicine)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Siddharth Srivastava's NPI number?

The NPI number for Siddharth Srivastava is 1255658209. It was assigned to this individual provider in the NPPES registry on April 30, 2010.

Where is Siddharth Srivastava located?

Siddharth Srivastava practices at 300 Longwood Ave, Boston, MA 02115. The listed phone number is (617) 355-6388.

What is Siddharth Srivastava's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Siddharth Srivastava enrolled in Medicare?

Yes. Siddharth Srivastava is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Siddharth Srivastava was last updated on August 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.