Individual provider Active NPI

Hana Vaghef Rasoulian

  • Audiologist
  • Bethesda, MD
National Provider Identifier
1033618558
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
01402 Issued in MD
Practice address
9049 Holly Leaf LN
Bethesda, MD 20817-2657
Phone
(404) 512-4424
NPI assigned
Feb 10, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 01402 MD Primary

Addresses

Primary practice location

9049 Holly Leaf LN
Bethesda, MD 20817-2657

Mailing address

9049 Holly Leaf LN
Bethesda, MD 20817-2657
Phone (404) 512-4424

Other names 1

  • Hana Vaghef Rasoulian Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230206000035 DC Practitioner - Qualified Audiologist 1759753502 Reassigns benefits to 1 organization
I20260527001844 MD Practitioner - Qualified Audiologist 1759753502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Nova Southeastern College of Osteo Medicine, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6245 Executive Blvd
Rockville, MD 20852-3906

8217 Cindy LN
Bethesda, MD 20817-6916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Signature Hearing Care LLC Current Accepting new patients
Family ENT Allergy and Asthma Center PC CurrentSince Jul 14, 2024 Accepting new patients
Precision Hearing Care Past Accepting new patients

Locations

806 W Diamond Ave
Ste 360
Gaithersburg, MD 20878
Phone (301) 468-5922

6245 Executive Blvd
Rockville, MD 20852
Phone (301) 468-5922

7610 Carroll Ave
Ste 370
Takoma Park, MD 20912
Phone (301) 891-6083

Organizations & group practices 3

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": "1518220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1033618558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9049 HOLLY LEAF LN",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208172657",
            "telephone_number": "404-512-4424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9049 HOLLY LEAF LN",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208172657",
            "telephone_number": "404-512-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAGHEF RASOULIAN",
        "first_name": "HANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-10",
        "last_updated": "2023-01-04",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "01402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "16114 Nursery Ln",
            "city": "Gaithersburg",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208782211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "9049 Holly Leaf Ln",
            "city": "Bethesda",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208172657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HANA",
            "last_name": "VAGHEF RASOULIAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.