Individual provider Active NPI

Stephanie Marie Koski, AUD

  • Audiologist
  • Birmingham, AL
National Provider Identifier
1043620032
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1146A Issued in AL
Practice address
3686 Grandview Parkway
Suite 530
Birmingham, AL 35243
Phone
(205) 591-8260
Fax
(205) 595-0843
NPI assigned
Apr 30, 2014
Last updated
Apr 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X
Audiologist 231H00000X 1146A AL Primary

Addresses

Primary practice location

3686 Grandview Parkway
Suite 530
Birmingham, AL 35243

Mailing address

3686 Grandview Parkway
Suite 530
Birmingham, AL 35243
Phone (205) 591-8260

Other names 1

  • Dr. Stephanie Marie Baj Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150810001595 AL Practitioner - Qualified Audiologist 2567689235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of Connecticut School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT Associates of Alabama PCGroup PAC ID 8921025354, 43 clinicians

Practice addresses (Care Compare)

3686 Grandview Pkwy
Birmingham, AL 35243-3326
Phone (205) 933-9277

Merit-based Incentive Payment System (MIPS)

Final score
90.23 of 100Reported as group
Quality
90.13
Promoting interoperability
100
Improvement activities
40
Cost
77.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1038MAMDPediatric Nutrition Registered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Consolidated Medical Practices of Memphis,PLLC Current Accepting new patients

Locations

6799 Great Oaks Rd
Ste 250
Memphis, TN 38138
Phone (901) 261-0700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBHBDD
  • Direct secure messaging: skoski@entalabama.emadirect.md

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, 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": "1398816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1043620032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3686 GRANDVIEW PARKWAY",
            "address_2": "SUITE 530",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35243",
            "telephone_number": "205-591-8260",
            "fax_number": "205-595-0843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3686 GRANDVIEW PARKWAY",
            "address_2": "SUITE 530",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35243",
            "telephone_number": "205-591-8260",
            "fax_number": "205-595-0843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSKI",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-30",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AL",
            "license": "1146A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "BAJ",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "AUD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.