Individual provider Active NPI

Kathryn Balestino-Estes, AU.D.

  • Audiologist
  • Olney, MD
National Provider Identifier
1124278874
Registry record updated Sep 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
01062 Issued in MD
Practice address
18111 Prince Philip Drive
Suite 224
Olney, MD 20832-1513
Phone
(301) 774-0074
Fax
(301) 774-0640
NPI assigned
Sep 30, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 01062 MD Primary

Addresses

Primary practice location

18111 Prince Philip Drive
Suite 224
Olney, MD 20832-1513

Mailing address

18111 Prince Philip Dr
Suite 224
Olney, MD 20832-1513
Phone (301) 774-0074

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251224000081 MD Practitioner - Qualified Audiologist 6901969708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Frederick ENT Group P.a.Group PAC ID 1254408628, 6 clinicians

Practice addresses (Care Compare)

82 Thomas Johnson CT
Frederick, MD 21702-4348
Phone (301) 698-2440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01062MDMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick ENT Group P.a. CurrentSince Dec 2, 2025 Accepting new patients

Locations

82 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 698-2440

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": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222732800000",
    "number": "1124278874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18111 PRINCE PHILIP DR",
            "address_2": "SUITE 224",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321513",
            "telephone_number": "301-774-0074",
            "fax_number": "301-774-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18111 PRINCE PHILIP DRIVE",
            "address_2": "SUITE 224",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321513",
            "telephone_number": "301-774-0074",
            "fax_number": "301-774-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALESTINO-ESTES",
        "first_name": "KATHRYN",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-30",
        "last_updated": "2008-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "01062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olney, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; 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.