Individual provider Active NPI

Robert Corey Roseberry, AU.D

  • Audiologist
  • Gettysburg, PA
National Provider Identifier
1023827458
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
1400 Proline PL Ste 500
Gettysburg, PA 17325-9403
Phone
(717) 334-8661
NPI assigned
Dec 31, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X Primary

Addresses

Primary practice location

1400 Proline PL Ste 500
Gettysburg, PA 17325-9403

Mailing address

2192 S Queen St
York, PA 17402-4671
Phone (717) 741-0788

Other practice location 1

2192 S Queen St
York, PA 17402-4671
Phone (717) 741-0788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250327000128 PA Practitioner - Qualified Audiologist 0244753507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Audio Professional IncGroup PAC ID 6507012549, 5 clinicians

Practice addresses (Care Compare)

1400 Proline PL
Suite 500
Gettysburg, PA 17325-9403
Phone (717) 334-8661

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Audio Professional, Inc. CurrentSince Mar 11, 2025 Accepting new patients

Locations

1400 Proline Pl
Ste 500
Gettysburg, PA 17325
Phone (717) 334-8661

2192 S Queen St
York, PA 17402
Phone (717) 334-8661

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1735603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1023827458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2192 S QUEEN ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174024671",
            "telephone_number": "717-741-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 PROLINE PL STE 500",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173259403",
            "telephone_number": "717-334-8661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2192 S Queen St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174024671",
            "country_code": "US",
            "telephone_number": "717-741-0788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSEBERRY",
        "first_name": "ROBERT",
        "middle_name": "COREY",
        "credential": "AU.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-31",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gettysburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.