Kelly Ann Zilli, AUD DOCTOR OF AUDIOL

Primary specialty

AudiologistTaxonomy code 231H00000X

License

3501002597 Issued in MI

Practice address

2421 Monroe St
Ste 202
Dearborn, MI 48124

Phone

(313) 562-4485

Fax

(313) 562-0447

NPI assigned

Sep 4, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ear Center IncGroup PAC ID 8426014630, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ear Center Inc

  • Audiologist
  • Dearborn, MI
  • NPI 1457419541
  Medicare reassignment Care Compare group NPD
• Ear Center Inc.

  • Hearing Instrument Specialist
  • Warren, MI
  • NPI 1700250552
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188864000000",
    "number": "1154515112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 MONROE ST",
            "address_2": "STE 202",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48124",
            "telephone_number": "313-562-4485",
            "fax_number": "313-562-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 MONROE ST",
            "address_2": "STE 202",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48124",
            "telephone_number": "313-562-4485",
            "fax_number": "313-562-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZILLI",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "AUD DOCTOR OF AUDIOL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-04",
        "last_updated": "2007-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "3501002597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4687710",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Zhen
• Zia Rafiq DDS PLLC
• Ziad Berri MD PC
• Nadia Zied
• Gregory H Zielinski, MD
• Shannon Leann Zilli
• Sandra J Zimberg, LMSW
• Antesar Zindani, PA-C
• Amanda Kathryn Ziolkowski
• Zachary A Zitnik

• Audiologist in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Audiologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; 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.