Individual provider Active NPI

Keri Maas, AUD

  • Audiologist
  • Oak Forest, IL
National Provider Identifier
1043334253
Registry record updated Aug 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147000759 Issued in IL
Practice address
6066 159TH St
Oak Forest, IL 60452-2904
Phone
(708) 687-4974
Fax
(708) 687-4975
NPI assigned
Mar 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 147000759 IL Primary
Audiologist-Hearing Aid Fitter 237600000X 14700759 IL

Addresses

Primary practice location

6066 159TH St
Oak Forest, IL 60452-2904

Mailing address

6066 159TH St
Oak Forest, IL 60452-2904
Phone (708) 687-4974

Other names 1

  • Keri Petrow Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040915000080 IL Practitioner - Qualified Audiologist 7315914702 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
147000759ILMDAudiologist
147000549ILMDAudiologist-Hearing Aid Fitter
14700759ILMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Accuquest Hearing Center, LLC Audiologist CurrentSince Jan 5, 2021 Accepting new patients
Illinois Wisconsin Sertoma Regional Center for Communicative Disorders Audiologist PastSince Dec 1, 2008 Accepting new patients

Locations

586 William R Latham SR Dr
Ste 2
Bourbonnais, IL 60914
Phone (708) 687-4974

6042 159th St
Oak Forest, IL 60452
Phone (708) 687-4974

6066 159th St
Oak Forest, IL 60452
Phone (708) 687-4974

2501 Cottontail Ln
Somerset, NJ 08873
Phone (732) 529-7120

Organizations & group practices 2

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": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312329600000",
    "number": "1043334253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6066 159TH ST",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604522904",
            "telephone_number": "708-687-4974",
            "fax_number": "708-687-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6066 159TH ST",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604522904",
            "telephone_number": "708-687-4974",
            "fax_number": "708-687-4975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAAS",
        "first_name": "KERI",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2011-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147000759",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "IL",
            "license": "14700759",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERI",
            "last_name": "PETROW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oak Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.