Individual provider Active NPI

Andrew Harter Kibelbek, AUD

  • Audiologist
  • Dayton, OH
National Provider Identifier
1093266736
Registry record updated Dec 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A.02034 Issued in OH
Practice address
6601 Centerville Business Pkwy
Suite 200
Dayton, OH 45459-2691
Phone
(937) 496-2600
NPI assigned
Oct 18, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A.02034 OH Primary
Assistive Technology Practitioner Audiologist 231HA2400X A.02034 OH
Assistive Technology Supplier Audiologist 231HA2500X A.02034 OH
Audiologist-Hearing Aid Fitter 237600000X A.02034 OH

Addresses

Primary practice location

6601 Centerville Business Pkwy
Suite 200
Dayton, OH 45459-2691

Mailing address

1222 S Patterson Blvd
Ste 400
Dayton, OH 45402-2642
Phone (937) 496-2620

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171227002345 OH Practitioner - Qualified Audiologist 8921366782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Ohio ENT Specialists IncGroup PAC ID 2163403098, 42 clinicians

Practice addresses (Care Compare)

1222 S Patterson Blvd
Suite 400
Dayton, OH 45402-2642
Phone 9374962620437

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A.02034OHMDAssistive Technology Supplier Audiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Ohio ENT Specialists Inc CurrentSince Dec 1, 2017 Accepting new patients

Locations

6601 Centerville Business Pkwy
Ste 200
Dayton, OH 45459
Phone (937) 435-7476

1222 S Patterson Blvd
Ste 400
Dayton, OH 45402
Phone (937) 496-2600

5971 Golf Club Ln
Fairfield Township, OH 45011
Phone (513) 785-4304

1930 Prime Ct
Ste 104
Troy, OH 45373
Phone (937) 832-3582

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDIFCD

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": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513296000000",
    "number": "1093266736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 S PATTERSON BLVD",
            "address_2": "STE 400",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454022642",
            "telephone_number": "937-496-2620",
            "fax_number": "937-424-8518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 CENTERVILLE BUSINESS PKWY",
            "address_2": "SUITE 200",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454592691",
            "telephone_number": "937-496-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIBELBEK",
        "first_name": "ANDREW",
        "middle_name": "HARTER",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-18",
        "last_updated": "2017-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A.02034",
            "primary": true
        },
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "OH",
            "license": "A.02034",
            "primary": false
        },
        {
            "code": "231HA2500X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Supplier",
            "state": "OH",
            "license": "A.02034",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "OH",
            "license": "A.02034",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.