Individual provider Active NPI

Lucia Menozi, AU.D.

  • Audiologist
  • Downers Grove, IL
National Provider Identifier
1114531142
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147001796 Issued in IL
Practice address
1501 Ogden Ave
Downers Grove, IL 60515-2742
Phone
(630) 969-1677
Fax
(630) 969-4384
NPI assigned
Sep 8, 2020
Last updated
Sep 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 147001796 IL Primary

Addresses

Primary practice location

1501 Ogden Ave
Downers Grove, IL 60515-2742

Mailing address

1501 Ogden Ave
Downers Grove, IL 60515-2742
Phone (630) 969-1677

Other practice location 1

419 N La Grange Rd Ste 1
LA Grange Park, IL 60526-5697
Phone (708) 588-0155

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230626001517 IL Practitioner - Qualified Audiologist 2062870967 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
Susan Rogan Hearing IncGroup PAC ID 4082705629, 2 clinicians

Practice addresses (Care Compare)

1501 Ogden Ave
Downers Grove, IL 60515-2742
Phone (630) 969-1677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Susan Rogan Hearing, Inc Audiologist CurrentSince Jun 12, 2023 Accepting new patients
Susan Rogan Hearing Inc. Audiologist Past Accepting new patients

Locations

1501 Ogden Ave
Downers Grove, IL 60515
Phone (630) 969-1677

1501 Ogden Ave
Ste 1
Downers Grove, IL 60515

419 N La Grange Rd
Ste 1
La Grange Park, IL 60526
Phone (708) 588-0155

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, 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": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1114531142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 OGDEN AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152742",
            "telephone_number": "630-969-1677",
            "fax_number": "630-969-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 OGDEN AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152742",
            "telephone_number": "630-969-1677",
            "fax_number": "630-969-4384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "419 N La Grange Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "LA Grange Park",
            "state": "IL",
            "postal_code": "605265697",
            "country_code": "US",
            "telephone_number": "708-588-0155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENOZI",
        "first_name": "LUCIA",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147001796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.