Individual provider Active NPI

Kelly Rostorfer, AU.D., CCC-A

  • Audiologist
  • Columbus, OH
National Provider Identifier
1073915740
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A01972 Issued in OH
Practice address
5074 N High St
Suite 105
Columbus, OH 43214-1526
Phone
(614) 431-1010
NPI assigned
Sep 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY1900 FL
Audiologist 231H00000X A01972 OH Primary

Addresses

Primary practice location

5074 N High St
Suite 105
Columbus, OH 43214-1526

Mailing address

5074 N High St
Columbus, OH 43214-1526
Phone (614) 431-1010

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150827002559 OH Practitioner - Qualified Audiologist 1355562828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Luebbe Hearing ServicesGroup PAC ID 3577641406, 2 clinicians

Practice addresses (Care Compare)

5074 N High St
Columbus, OH 43214-1526
Phone (614) 431-1010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Luebbe Hearing Services Audiologist Current Accepting new patients
Luebbe Hearing Services Audiologist CurrentSince Jul 6, 2015 Accepting new patients

Locations

1420 Circleville Plaza Dr
Circleville, OH 43113
Phone (740) 474-8475

5074 N High St
Ste 105
Columbus, OH 43214
Phone (614) 431-1010

5074 N High St
Columbus, OH 43214
Phone (614) 431-1010

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": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1073915740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5074 N HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141526",
            "telephone_number": "614-431-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5074 N HIGH ST",
            "address_2": "SUITE 105",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141526",
            "telephone_number": "614-431-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSTORFER",
        "first_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "AU.D., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-24",
        "last_updated": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY1900",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A01972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.