Individual provider Active NPI

Susan Rogan Menozi, A.UD.

  • Audiologist
  • Downers Grove, IL
National Provider Identifier
1073521860
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147000150 Issued in IL
Practice address
1501 Ogden Ave
Downers Grove, IL 60515-2742
Phone
(630) 969-1677
Fax
(630) 969-4383
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 147000150 IL
Audiologist 231H00000X 147000150 IL Primary

Addresses

Primary practice location

1501 Ogden Ave
Downers Grove, IL 60515-2742

Mailing address

1501 Ogden Ave
Downers Grove, IL 60515-2742
Phone (630) 969-1677

Other practice location 1

319 W Ogden Ave
Westmont, IL 60559-1419
Phone (630) 969-1677

Other names 1

  • Dr. Susan Rogan Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040510001200 IL Practitioner - Qualified Audiologist 7416946918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Susan Rogan Hearing IncGroup PAC ID 4082705629, 2 clinicians

Practice addresses (Care Compare)

1501 Ogden Ave
Downers Grove, IL 60515-2742
Phone (630) 969-1677

1501 Ogden Ave
Downers Grove, IL 60515-9808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1073521860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 OGDEN AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152742",
            "telephone_number": "630-969-1677",
            "fax_number": "630-969-4383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 OGDEN AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152742",
            "telephone_number": "630-969-1677",
            "fax_number": "630-969-4383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "319 W Ogden Ave",
            "address_purpose": "LOCATION",
            "city": "Westmont",
            "state": "IL",
            "postal_code": "605591419",
            "country_code": "US",
            "telephone_number": "630-969-1677",
            "fax_number": "630-969-4383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENOZI",
        "first_name": "SUSAN",
        "middle_name": "ROGAN",
        "name_prefix": "Mrs.",
        "credential": "A.UD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "IL",
            "license": "147000150",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147000150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "ROGAN",
            "prefix": "DR.",
            "credential": "A.U.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.