Active NPI
Andrea Soltis Kristalovich, AU.D.
- Audiologist-Hearing Aid Fitter
- Glendale, AZ
National Provider Identifier
1144488388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- DA2019
- Practice address
- 5750 W Thunderbird Rd
A-100
Glendale, AZ 85306-4660 - Phone
- (602) 938-3205
- Fax
- (602) 938-5799
- NPI assigned
- May 23, 2008
- Sex
- Female
- Sole proprietor
- No
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-Hearing Aid Fitter | 237600000X | DA2019 | AZ | Primary |
Addresses
Primary practice location
5750 W Thunderbird Rd
A-100
Glendale, AZ 85306-4660
Mailing address
4530 E Shea Blvd Ste 180
Phoenix, AZ 85028-6042
Phone (602) 264-4834
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10510 N 92ND St
Scottsdale, AZ 85258-4566
5750 W Thunderbird Rd
Suite A100
Glendale, AZ 85306-4661
Phone (602) 938-3205
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.69 of 100
- Quality
- 73.68
- Improvement activities
- 40
- Cost
- 67.39
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiology Distribution, LLC | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
| Hearusa Inc | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
Interoperability endpoints
- andrea.kristalovich.1@24142.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Specialist
- Phoenix, AZ
- NPI 1679538441
-
- Hematology & Oncology Physician
- Scottsdale, AZ
- NPI 1407050917
-
- Audiologist-Hearing Aid Fitter
- Dublin, OH
- NPI 1164707998
-
- Audiologist-Hearing Aid Fitter
- West Palm Beach, FL
- NPI 1073560231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712188800000",
"number": "1144488388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4530 E SHEA BLVD STE 180",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850286042",
"telephone_number": "602-264-4834",
"fax_number": "602-254-5178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5750 W THUNDERBIRD RD",
"address_2": "A-100",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853064660",
"telephone_number": "602-938-3205",
"fax_number": "602-938-5799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRISTALOVICH",
"first_name": "ANDREA",
"middle_name": "SOLTIS",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-23",
"last_updated": "2024-04-04",
"certification_date": "2024-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "AZ",
"license": "DA2019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.