Active NPI
Kathryn Balestino-Estes, AU.D.
- Audiologist
- Olney, MD
National Provider Identifier
1124278874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 01062
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
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
| License | State | Type | Specialty |
|---|---|---|---|
| 01062 | MD | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick ENT Group P.a. | Current | 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.