SHILPA R. PRADHAN D.O.
NPI 1316043136
Psychiatry & Neurology - Neurology in Bethlehem, PA

Active since September 16, 2006PECOS EnrolledAccepts Medicare Assignment
95.64/100
CMS Quality Rating
1417 8TH AVE, BETHLEHEM, PA 18018(484) 526-5210(610) 861-3069 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shilpa R. Pradhan D.o. NPPES

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

SHILPA R. PRADHAN D.O. (NPI 1316043136) is an individual neurology provider in Bethlehem, Pennsylvania, licensed in Pennsylvania (OS008095L) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with St Lukes Quakertown Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (1992).

NPPES Registry Identity

NPI1316043136
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameSHILPA R. PRADHANCredential: D.O.
Location Address1417 8TH AVEBethlehem, PA 18018-2256
Mailing Address1417 8th AveBethlehem, PA 18018-2256 · (484) 526-5210 · Fax (610) 861-3069
Fax(610) 861-3069
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1992
Enumeration DateSeptember 16, 2006
Last NPPES UpdateSeptember 12, 2025
NPPES CertifiedSeptember 12, 2025
NPI 1316043136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in PA · OS008095L
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1417 8TH AVE, Bethlehem, PA 18018

Other Identifiers 1

Medicaid001708128PA

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

Shilpa R. Pradhan D.o. 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 ID1052353000
PECOS Enrollment IDI20050531000836
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
260 services147 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
93 services71 patients
Nerve conduction, 9-10 studies 95911
Nerve conduction studies involve sending small electrical shocks through the skin to measure how quickly nerves transmit signals. This helps detect nerve damage. 9-10 studies mean this process will be repeated on different nerves to gather comprehensive data.
76 services76 patients
Nerve conduction, 7-8 studies 95910
Nerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps doctors identify nerve damage. In a 7-8 study procedure, 7-8 specific nerves are tested. You may feel a mild, brief tingling or shock during the test.
48 services48 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
44 services32 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
15 services15 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Lukes Quakertown Hospital

Acute Care Hospitals · Quakertown, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390035
Location3000 St. Luke's DriveQuakertown, PA 18951 · Bucks County
Emergency services Birthing friendly

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

St Luke's Hospital - Anderson Campus

Acute Care Hospitals · Easton, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390326
Location1872 St Luke's BlvdEaston, PA 18045 · Northampton County
Birthing friendly

St Luke's Hospital - Monroe Campus

Acute Care Hospitals · Stroudsburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390330
Location100 St Luke's LaneStroudsburg, PA 18360 · Monroe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18018 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.57
Promoting Interoperability100
Improvement Activities40

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.

Physical Therapist
1417 8TH AVE
BETHLEHEM, PA 18018
Occupational Therapist
1417 8TH AVE
BETHLEHEM, PA 18018
Nurse Practitioner
1417 8TH AVE
BETHLEHEM, PA 18018
Nurse Practitioner
1417 8TH AVE
BETHLEHEM, PA 18018
Psychiatry & Neurology (Neurology)
1417 8TH AVE
BETHLEHEM, PA 18018
Physical Medicine & Rehabilitation
1417 8TH AVE
BETHLEHEM, PA 18018
Psychiatry & Neurology (Neurology)
1417 8TH AVE
BETHLEHEM, PA 18018
Physical Therapist
1417 8TH AVE
BETHLEHEM, PA 18018

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 Shilpa Pradhan's NPI number?

The NPI number for Shilpa Pradhan is 1316043136. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Shilpa Pradhan located?

Shilpa Pradhan practices at 1417 8th Ave, Bethlehem, PA 18018. The listed phone number is (484) 526-5210.

What is Shilpa Pradhan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Shilpa Pradhan enrolled in Medicare?

Yes. Shilpa Pradhan 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.

Is Shilpa Pradhan affiliated with any hospitals?

According to CMS data, Shilpa Pradhan is affiliated with St Lukes Quakertown Hospital, St Luke's Hospital Bethlehem, St Luke's Hospital - Anderson Campus and St Luke's Hospital - Monroe Campus.

When was this NPI record last updated?

The NPPES record for Shilpa Pradhan was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.