Individual provider Active NPI

Srikanth Doraiswamy

  • Hearing Instrument Specialist
  • North Palm Beach, FL
National Provider Identifier
1053704395
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
AS4790 Issued in FL
Practice address
11985 US Highway 1 Ste 105
North Palm Beach, FL 33408-2874
Phone
(561) 341-0229
NPI assigned
Mar 11, 2015
Last updated
Feb 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 80678 TX
Hearing Instrument Specialist 237700000X AS4790 FL Primary

Addresses

Primary practice location

11985 US Highway 1 Ste 105
North Palm Beach, FL 33408-2874

Mailing address

1620 N US Highway 1 Ste 11
Tequesta, FL 33469-3241
Phone (561) 341-0229

Other practice location 1

1620 N US Highway 1 Ste 11
Tequesta, FL 33469-3241
Phone (561) 341-0229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
80678TXMDAudiologist
AS4790FLMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Aksun Hearing Clinic, LLC Hearing Instrument Specialist CurrentSince Mar 29, 2020 Accepting new patients

Locations

11985 US Highway 1
Ste 105
North Palm Beach, FL 33408
Phone (561) 341-0229

1620 N US Highway 1
Ste 11
Tequesta, FL 33469
Phone (561) 341-0229

23902 FM 2978 Rd
Ste B
Tomball, TX 77375

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, 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": "1426032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1053704395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 N US HIGHWAY 1 STE 11",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334693241",
            "telephone_number": "561-341-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11985 US HIGHWAY 1 STE 105",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334082874",
            "telephone_number": "561-341-0229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1620 N US Highway 1 Ste 11",
            "address_purpose": "LOCATION",
            "city": "Tequesta",
            "state": "FL",
            "postal_code": "334693241",
            "country_code": "US",
            "telephone_number": "561-341-0229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORAISWAMY",
        "first_name": "SRIKANTH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-11",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "TX",
            "license": "80678",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS4790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.