Organization Active NPI

Audiology and Hearing Services of Kerrville PLLC

  • Audiologist
  • Kerrville, TX
National Provider Identifier
1154596658
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
AUDIOLOGY AND HEARING SERVICES OF KERRVILLE PLLC
Practice address
703 Hill Country Dr
Suite 102
Kerrville, TX 78028-6159
Phone
(830) 792-4060
Fax
(830) 792-5288
NPI assigned
Apr 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2015

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

Authorized official

Name
Dr. Jeffrey G Sirianni, AU.D.NPI 1780723668
Title
Owner
Phone
(830) 792-4060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X Primary
Audiologist-Hearing Aid FitterGroup: 193200000X MULTI-SPECIALTY GROUP 237600000X

Addresses

Primary practice location

703 Hill Country Dr
Suite 102
Kerrville, TX 78028-6159

Mailing address

703 Hill Country Dr
Suite 102
Kerrville, TX 78028-6159
Phone (830) 792-4060

Other identifiers 3

IdentifierTypeStateIssuer
149728101MedicaidTX
149728102MedicaidTX
528425OtherTXBCBS

Other names 1

  • Hill Country Audiology Service Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160810000402 TX Part B Supplier - Clinic/Group Practice 7012201338 Receives reassigned benefits from 2 practitioners
Practice locations: Fredericksburg, TX; Kerrville, TX

National Provider Directory

National Provider Directory

Locations

816 Reuben St
Fredericksburg, TX 78624
Phone (830) 997-3132

730 HL Country Dr Ste 102
Kerrville, TX 78028

703 Hill Country Dr
Ste 102
Kerrville, TX 78028
Phone (830) 762-4060

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439510400000",
    "number": "1154596658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 HILL COUNTRY DR",
            "address_2": "SUITE 102",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780286159",
            "telephone_number": "830-792-4060",
            "fax_number": "830-792-5288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 HILL COUNTRY DR",
            "address_2": "SUITE 102",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780286159",
            "telephone_number": "830-792-4060",
            "fax_number": "830-792-5288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDIOLOGY AND HEARING SERVICES OF KERRVILLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2015-08-14",
        "status": "A",
        "authorized_official_last_name": "SIRIANNI",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-792-4060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149728101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149728102",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "528425",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hill Country Audiology Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kerrville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.