Individual provider Active NPI

Keri Ann Tombrello, AUD

  • Audiologist-Hearing Aid Fitter
  • Kansas City, MO
National Provider Identifier
1124737911
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
2023035490 Issued in MO
Practice address
3100 Broadway Blvd Ste 509
Kansas City, MO 64111-2413
Phone
(816) 531-7373
NPI assigned
Nov 21, 2022
Last updated
Aug 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2479 KS
Audiologist-Hearing Aid Fitter 237600000X 2023035490 MO Primary
Hearing Instrument Specialist 237700000X 1939 KS

Addresses

Primary practice location

3100 Broadway Blvd Ste 509
Kansas City, MO 64111-2413

Mailing address

5101 College Blvd
Leawood, KS 66211-1614
Phone (816) 478-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240412001146 KS Practitioner - Qualified Audiologist 1052750841 Reassigns benefits to 1 organization
I20240412001832 MO Practitioner - Qualified Audiologist 1052750841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascentist Physicians Group LLCGroup PAC ID 9335143759, 111 clinicians

Practice addresses (Care Compare)

4880 NE Goodview Cir
Lees Summit, MO 64064-1996
Phone (816) 478-4200

6815 Frontage Rd
Suite a
Overland Park, KS 66204-1555
Phone (913) 721-3387

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2479KSMDClinical Social Worker
1939KSMDOptometrist
2023035490MOMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Ascentist Physicians Group, LLC Audiologist CurrentSince Apr 1, 2024 Accepting new patients

Locations

2300 Hutton Rd
Ste 106
Kansas City, KS 66109
Phone (913) 728-0386

4550 W 109th St
Ste 240
Overland Park, KS 66211
Phone (816) 820-8000

4550 W 109th St
Ste 310
Overland Park, KS 66211
Phone (816) 531-7373

5101 College Blvd
Overland Park, KS 66211

6815 Frontage Rd
Ste A
Overland Park, KS 66204
Phone (913) 348-6725

3100 Broadway Blvd
Ste 509
Kansas City, MO 64111
Phone (816) 531-7373

4880 NE Goodview Cir
Lees Summit, MO 64064
Phone (816) 246-1456

Interoperability endpoints

  • Direct secure messaging: keri.tombrello.1@12752.direct.athenahealth.com

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, 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": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1124737911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 COLLEGE BLVD",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111614",
            "telephone_number": "816-478-4200",
            "fax_number": "816-875-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 BROADWAY BLVD STE 509",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641112413",
            "telephone_number": "816-531-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMBRELLO",
        "first_name": "KERI",
        "middle_name": "ANN",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-21",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KS",
            "license": "2479",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MO",
            "license": "2023035490",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "KS",
            "license": "1939",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.