DR. SRINIVAS N. HALTHORE M.D.
NPI 1730119413
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Allentown, PA

Q: What is Srinivas Halthore's NPI number?

The NPI number for Srinivas Halthore is 1730119413. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Q: What is Srinivas Halthore'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.

Q: When was this NPI record last updated?

The NPPES record for Srinivas Halthore was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 05, 2006PECOS Enrolled

1210 S CEDAR CREST BLVD STE 2400, ALLENTOWN, PA 18103(610) 402-3888 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 3, 2019, Oct 4, 2019 (2 updates tracked since 2019).

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About Dr. Srinivas N. Halthore M.d. NPPES

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

DR. SRINIVAS N. HALTHORE M.D. (NPI 1730119413) is an individual neurology with special qualifications in child neurology provider in Allentown, Pennsylvania, licensed in Pennsylvania (MD485391) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Las Vegas.

NPPES Registry Identity

NPI1730119413

Entity TypeIndividualMale

Primary Taxonomy2084N0402X

Provider Legal NameDR. SRINIVAS N. HALTHORECredential: M.D.

Location Address1210 S CEDAR CREST BLVD STE 2400Allentown, PA 18103-6235

Mailing Address2020 E Desert Inn RdLas Vegas, NV 89109-3211 · (702) 796-5505 · Fax (702) 732-9830

Phone(610) 402-3888

Sole ProprietorNo

Enumeration DateJuly 5, 2006

Last NPPES UpdateAugust 27, 20242 updates tracked since enumeration

NPPES CertifiedAugust 27, 2024

✔ NPI 1730119413 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

Licenses✔ Licensed in PA · MD485391✔ Licensed in NV · 7067

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 ListedSpecialistTaxonomy 174400000X · License 7067 (NV)

1210 S CEDAR CREST BLVD STE 2400, Allentown, PA 18103

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Secondary Practice Location 1

Location 12020 E Desert Inn RdLas Vegas, NV 89109-3211 · Phone (702) 796-5505 · Fax (702) 732-9830

Other Identifiers 1

Medicaid002019640NV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Srinivas N. Halthore M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Srinivas Halthore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lehigh Valley Physician Group

Same address

Neurology with Special Qualifications in Child Neurology

1210 S CEDAR CREST BLVD, STE 2400
Allentown, PA 18103

Reassigned Medicare billing, Pennsylvania enrollment
2,895 clinicians in this Medicare group

NPI 1447324348 (484) 884-3333

Pokroy Medical Group Of Nevada, Ltd.

2,163 mi

Neonatal-Perinatal Medicine

653 N TOWN CENTER DR STE 112
Las Vegas, NV 89144

Reassigned Medicare billing, Nevada enrollment
150 clinicians in this Medicare group

NPI 1992809412 (702) 733-0981

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18103 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.

Other Providers at the Same Location NPPES 17

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

DR. AISHWARYA PALORATH MD

Pediatrics (Pediatric Gastroenterology)