Individual provider Active NPI

Rebecca Joseph Blaha, AUD., CCC-A

  • Audiologist-Hearing Aid Fitter
  • Elkins Park, PA
National Provider Identifier
1104857135
Registry record updated Aug 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AT006180 Issued in PA
Practice address
8380 Old York Rd
Suite 120
Elkins Park, PA 19027-1539
Phone
(215) 886-8660
Fax
(215) 886-8856
NPI assigned
Jul 6, 2006
Last updated
Aug 13, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2012

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 02000150 DE
Audiologist-Hearing Aid Fitter 237600000X AT006180 PA Primary

Addresses

Primary practice location

8380 Old York Rd
Suite 120
Elkins Park, PA 19027-1539

Mailing address

8380 Old York Rd
Suite 120
Elkins Park, PA 19027-1539
Phone (215) 886-8660

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110608000372 PA Practitioner - Qualified Audiologist 1951314293 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Drexel UniversityGroup PAC ID 5496664740, 80 clinicians

Practice addresses (Care Compare)

8380 Old York Rd
Suite 120
Elkins Park, PA 19027-1541
Phone (215) 886-8660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02000150DEMDAudiologist-Hearing Aid Fitter
AT006180PAMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Drexel University CurrentSince Jul 13, 2012 Accepting new patients
Drexel University Current Accepting new patients
Wilmington Audiology Services Audiologist-Hearing Aid Fitter PastSince Jan 26, 2012 Accepting new patients

Locations

8380 Old York Rd
Ste 120
Elkins Park, PA 19027
Phone (215) 780-3180

8380 Old York Rd
Ste 1200
Elkins Park, PA 19027
Phone (215) 780-3180

1427 Vine St
Fl 2
Philadelphia, PA 19102
Phone (215) 762-2530

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344816000000",
    "number": "1104857135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8380 OLD YORK RD",
            "address_2": "SUITE 120",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271539",
            "telephone_number": "215-886-8660",
            "fax_number": "215-886-8856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8380 OLD YORK RD",
            "address_2": "SUITE 120",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271539",
            "telephone_number": "215-886-8660",
            "fax_number": "215-886-8856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAHA",
        "first_name": "REBECCA",
        "middle_name": "JOSEPH",
        "credential": "AUD., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2012-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "DE",
            "license": "02000150",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "PA",
            "license": "AT006180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.