SHILPA R. PRADHAN D.O.
NPI 1316043136
Psychiatry & Neurology - Neurology in Bethlehem, PA
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 Luke's Warren Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (1992).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Shilpa Pradhan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bethlehem, PA 18018
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: St Lukes Physician Group Inc
- 2,851 clinicians in this Medicare group
Phillipsburg, NJ 08865
- Reassigned Medicare billing, New Jersey enrollment
- Medicare enrollment name: St Lukes Warren Physician Group PC
- 528 clinicians in this Medicare group
Orwigsburg, PA 17961
- Reassigned Medicare billing, Pennsylvania enrollment
- 953 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Luke's Warren Hospital
Acute Care Hospitals · Phillipsburg, NJSt Lukes Quakertown Hospital
Acute Care Hospitals · Quakertown, PASt Luke's Hospital Bethlehem
Acute Care Hospitals · Bethlehem, PASt Luke's Hospital - Monroe Campus
Acute Care Hospitals · Stroudsburg, PASt Luke's Hospital - Carbon Campus
Acute Care Hospitals · Lehighton, PAPhysician 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.
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.
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.
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.
Which organizations bill Medicare for Shilpa Pradhan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shilpa Pradhan reassigns Medicare benefits to 3 organizations: St. Luke's Physician Group, Inc. (Bethlehem, PA), St. Luke's Warren Physician Group, PC (Phillipsburg, NJ) and Gslpg, Inc (Orwigsburg, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shilpa Pradhan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shilpa Pradhan accept?
Health plans from Oscar Health list Shilpa Pradhan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Shilpa Pradhan affiliated with any hospitals?
According to CMS data, Shilpa Pradhan is affiliated with St Luke's Warren Hospital, St Lukes Quakertown Hospital, St Luke's Hospital Bethlehem, St Luke's Hospital - Monroe Campus and St Luke's Hospital - Carbon 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 13 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.
# Shilpa R. Pradhan, D.O. · NPI 1316043136
Neurology physician in Bethlehem, Pennsylvania. Individual provider, active in the CMS NPPES registry since September 16, 2006.
## Identity
- **NPI:** 1316043136 (Entity type: Individual)
- **Enumerated:** September 16, 2006
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** OS008095L (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1417 8TH AVE, Bethlehem, PA 18018-2256
- **Phone:** (484) 526-5210 · **Fax:** (610) 861-3069
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): St. Luke's Physician Group, Inc. (NPI 1912941568, Bethlehem, PA); St. Luke's Warren Physician Group, PC (NPI 1043635733, Phillipsburg, NJ); Gslpg, Inc (NPI 1366006702, Orwigsburg, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Philadelphia College Of Osteopathic Medicine, class of 1992
## Record status
- **NPPES last updated:** September 12, 2025
- **Other identifiers:** Medicaid 001708128 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1316043136) · Data from the CMS NPPES public registry.