Alexandra Shevelyok, AU.D.
Individual provider Active NPI Audiologist · Salem, MA
NPI 1104296854 · NPPES record last updated Aug 8, 2023
Key facts
- NPI
- 1104296854
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- SP-1080-AU (MA)
- Practice address
- 35 Congress St Ste 211
Salem, MA 01970-5529 - Phone
- (617) 807-7500
- NPI assigned
- Oct 6, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- Qualified Audiologist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Associated Physicians of Harvard Medical Faculty Physicians at Beth Is
Practice addresses (Care Compare)
100 Highland St
Milton, MA 02186-3881
Phone (617) 313-1440
101 Page St
New Bedford, MA 02740-3464
Phone (781) 983-9088
145 Rosemary St
Needham, MA 02494-3259
330 Brookline Ave
Boston, MA 02215-5400
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151103000181 | MA | Practitioner - Qualified Audiologist | 9931419090 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1080 | MA | MD | Athletic Trainer |
| SP-1080-AU | MA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Physicians of Harvard Medical Faculty Physicians at Beth Is | Current |
Accepting new patients | |
| Associated Physicians of Harvard Medical Faculty Physicians at Beth Is | Current |
Accepting new patients | |
| Rosenberg Audiology Inc. | Current |
Accepting new patients | |
| Associated Physicians of Harvard Medical Faculty Physicians at Beth Is | Current | Accepting new patients | |
| Spaulding Rehabilitation Hospital Corporation | Past |
Accepting new patients | |
| Massachusetts Eye and Ear Associates, Inc. | Past | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Past | Accepting new patients |
Locations
90 Concord Ave
Belmont, MA 02478
Phone (617) 484-8700
90 Concord Ave
Ste 4
Belmont, MA 02478
Phone (617) 484-8700
100 Highland St
Ste 221
Milton, MA 02186
Phone (617) 632-7500
145 Rosemary St
Ste B
Needham Heights, MA 02494
Phone (781) 433-2110
101 Page St
New Bedford, MA 02740
Phone (508) 961-5425
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | SP-1080-AU | MA | Yes |
Addresses
Primary practice location
35 Congress St Ste 211
Salem, MA 01970-5529
Mailing address
35 Congress St Ste 211
Salem, MA 01970-5529
Phone (617) 807-7500
Other providers in Salem, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.