Individual provider Active NPI

Joseph K Duran, AU.D.

  • Audiologist
  • Miami, FL
National Provider Identifier
1043258585
Registry record updated Sep 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY1145 Issued in FL
Practice address
3431 SW 107TH Ave
Miami, FL 33165-3632
Phone
(305) 551-7222
Fax
(305) 551-7220
NPI assigned
Jun 4, 2006
Last updated
Sep 12, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY1145 FL Primary

Addresses

Primary practice location

3431 SW 107TH Ave
Miami, FL 33165-3632

Mailing address

3431 SW 107TH Ave
Miami, FL 33165-3632
Phone (305) 551-7222

Other identifiers 2

IdentifierTypeStateIssuer
0166952OtherFLGHI
600375300MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070111000463 FL Practitioner - Qualified Audiologist 5092715250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3431 SW 107 Ave
Miami, FL 33165-3632
Phone (305) 551-7222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AY1145FLMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
New Generation Hearing Centers Audiologist CurrentSince Jan 2, 2009 Accepting new patients
Someillan Hearing Health Inc Past Accepting new patients
Hearusa Inc Past Accepting new patients

Locations

3431 SW 107th Ave
Miami, FL 33165
Phone (305) 551-7222

13520 SW 120th St
Ste 105
Miami, FL 33186

2261 Coral Way
Miami, FL 33145
Phone (305) 250-5608

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315785600000",
    "number": "1043258585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3431 SW 107TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653632",
            "telephone_number": "305-551-7222",
            "fax_number": "305-551-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3431 SW 107TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653632",
            "telephone_number": "305-551-7222",
            "fax_number": "305-551-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURAN",
        "first_name": "JOSEPH",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2011-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY1145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0166952",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600375300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; 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.