Individual provider Active NPI

Naileen Abdul Momin, AU D

  • Audiologist
  • Lewisville, TX
National Provider Identifier
1104428226
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
81169 Issued in TX
Practice address
324 W Main St Ste 100
Lewisville, TX 75057-3854
Phone
(972) 420-7212
NPI assigned
Nov 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 81169 TX Primary

Addresses

Primary practice location

324 W Main St Ste 100
Lewisville, TX 75057-3854

Mailing address

20210 Sequoia Trce
Spring, TX 77379-2536
Phone (713) 371-2939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210104000631 MA Practitioner - Qualified Audiologist 0648683110
I20231108004058 TX Practitioner - Qualified Audiologist 0648683110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The ENT and Allergy Centers of Texas, PLLCGroup PAC ID 4385709054, 56 clinicians

Practice addresses (Care Compare)

324 W Main St
100 Associates of Ear Nose and Throat Su
Lewisville, TX 75057-3854
Phone (972) 420-7212

5220 W University Dr
Suite 150
McKinney, TX 75071-7418
Phone (972) 984-1050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The ENT & Allergy Centers of Texas, PLLC CurrentSince Oct 9, 2023 Accepting new patients
Richard D Thrasher III MD PA Past Accepting new patients

Locations

324 W Main St
Ste 100
Lewisville, TX 75057
Phone (972) 420-7212

5220 W University Dr
Ste 150
McKinney, TX 75071
Phone (972) 632-3270

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": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1104428226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20210 SEQUOIA TRCE",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773792536",
            "telephone_number": "713-371-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 W MAIN ST STE 100",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573854",
            "telephone_number": "972-420-7212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOMIN",
        "first_name": "NAILEEN",
        "middle_name": "ABDUL",
        "credential": "AU D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-13",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "81169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.