SHILPA R. PRADHAN (D.O.) – Neurology Physician, NPI 1316043136
Neurology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,531 NEUROLOGY in PA
Provider Addresses for SHILPA R. PRADHAN (D.O.)
1417 8TH AVE
BETHLEHEM, PA 180182256
Phone: (484) 526-5210
Fax: (610) 861-3069
Type: Mailing
Walbert Avenue, Woodlawn, South Whitehall Township, Lehigh County, Pennsylvania, 18104, United States
SUITE 100
ALLENTOWN, PA 181041700
Phone: (610) 366-9160
Fax: (610) 366-9164
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $138.
Total Amount is formed as General ($138) + Research ($0) + Ownership ($0) = $138.
Last reported payment date: 2024-11-23 • Largest payer in this snapshot: Alexion Pharmaceuticals, Inc. ($95).
Total Amount
$138
General + Research + Ownership
Payments
2
Total payment records
General Amount
$138
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alexion Pharmaceuticals, Inc. | $95 |
| Amneal Pharmaceuticals LLC | $43 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-04-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050531000836 | I | Neurology | PA | TBD |
| I20180419002344 | I | Neurology | NJ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 95886 | Needle measurement of electrical activity in arm or leg muscles, complete study | 231 | 129 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 90 | 78 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 87 | 61 | $0 |
| 95911 | Nerve conduction, 9-10 studies | 55 | 55 | $0 |
| 95910 | Nerve conduction, 7-8 studies | 46 | 46 | $0 |
Insurance plans in this area (ZIP 18018)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NEUROLOGY | PA | 95819 | Measurement and recording of brain wave (EEG) activity, awake and asleep | 27 | 27 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | PA | |
| Nurse Practitioner | PA | |
| C H I R O P R A C T I C | PA | |
| - | PA | |
| - | PA | |
| - | TX | |
| - | PA | |
| Physician Assistant | PA | |
| - | PA | |
| Physician Assistant | PA |
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