NPIMap

Organization Active NPI

Revolution Hearing

  • Audiologist
  • Richmond, VA
National Provider Identifier
1154948420
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
REVOLUTION HEARING
Practice address
4801 Radford Ave Ste a
Richmond, VA 23230-3541
Phone
(804) 924-4055
NPI assigned
Jul 2, 2020
Last updated
Jan 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Authorized official

Name
Ryan FordNPI 1639552805
Title
Owner
Phone
(757) 447-9940

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X NU Primary

Addresses

Primary practice location

4801 Radford Ave Ste a
Richmond, VA 23230-3541

Mailing address

4801 Radford Ave Ste a
Richmond, VA 23230-3541

Other practice location 1

9200 Church St Ste 201
Manassas, VA 20110-5561
Phone (571) 646-5533

Other practice location 2

11057 Three Chopt Rd
Henrico, VA 23233-2023
Phone (833) 263-4327

Other practice location 3

3183 Beaver Vu Dr Ste F
Beavercreek, OH 45434-6385
Phone (937) 637-1677

Other practice location 4

1144 E Home Rd Ste C
Springfield, OH 45503-2797
Phone (937) 637-1677

Other practice location 5

6219 Constitution Dr
Fort Wayne, IN 46804-1517
Phone (260) 279-5044

Other practice location 6

9465 Counselors Row Ste 200
Indianapolis, IN 46240-3817
Phone (317) 559-2968

Other practice location 7

5510 S East St Ste K
Indianapolis, IN 46227-1938
Phone (317) 559-2968

Other practice location 8

77 S Girls School Rd Ste 202
Indianapolis, IN 46231-1198
Phone (317) 559-2968

Other practice location 9

610 Professional Park Dr Ste A
New Haven, IN 46774-1996
Phone (260) 279-5044

Other practice location 10

211 Hurley Ave
Kingston, NY 12401-2400
Phone (845) 331-9160

Other practice location 11

1 Morton Dr Ste 107
Charlottesville, VA 22903-6806
Phone (833) 236-4327

Other practice location 12

1463 W Main St Unit P2
Salem, VA 24153-5525
Phone (833) 263-4327

Other practice location 13

3225 N Franklin St Ste 2
Christiansburg, VA 24073-4003
Phone (833) 263-4327

Other practice location 14

2633 Napoleon Ave Ste 703
New Orleans, LA 70115-7420
Phone (504) 301-1271

Other practice location 15

4801 Radford Ave Ste A
Richmond, VA 23230-3541
Phone (804) 924-4055

Other practice location 16

923 Route 6A Ste Dd
Yarmouth Port, MA 02675-2231
Phone (508) 526-9101

Other practice location 17

648 N River Rd
Naperville, IL 60563-8952
Phone (630) 937-9390

Other practice location 18

7100 George Washington Mem Hwy Ste 9
Yorktown, VA 23692-4935
Phone (757) 447-9940

Other practice location 19

441 S Independence Blvd Ste 1
Virginia Beach, VA 23452-1126
Phone (757) 447-9940

Other practice location 20

1906B Boulevard
Colonial Heights, VA 23834-2308
Phone (804) 942-4055

Other practice location 21

109 Mactanly Pl
Staunton, VA 24401-2372
Phone (833) 263-4327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NY, LA, OH, NC, IL6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
O20230310000029 VA Part B Supplier - Clinic/Group Practice 6608249727 Receives reassigned benefits from 3 practitioners
Practice locations: Manassas, VA; Yorktown, VA; Virginia Beach, VA; Staunton, VA; Salem, VA; Richmond, VA; Henrico, VA; Colonial Heights, VA…
O20230329001755 NY Part B Supplier - Clinic/Group Practice 6608249727 Receives reassigned benefits from 2 practitioners
Practice locations: Kingston, NY
O20230724002363 LA Part B Supplier - Clinic/Group Practice 6608249727 Receives reassigned benefits from 1 practitioner
Practice locations: New Orleans, LA
O20230728000741 OH Part B Supplier - Clinic/Group Practice 6608249727 Practice locations: Springfield, OH; Beavercreek, OH
O20230818002456 NC Part B Supplier - Clinic/Group Practice 6608249727 Receives reassigned benefits from 1 practitioner
Practice locations: Henderson, NC; Wake Forest, NC
O20231010000751 IL Part B Supplier - Clinic/Group Practice 6608249727 Receives reassigned benefits from 1 practitioner
Practice locations: Naperville, IL

National Provider Directory

National Provider Directory

Locations

648 N River Rd
Naperville, IL 60563
Phone (630) 937-9390

6219 Constitution Dr
Fort Wayne, IN 46804
Phone (260) 279-5044

5510 S East St
Ste K
Indianapolis, IN 46227
Phone (317) 559-2968

9465 Counselors Row
Ste 200
Indianapolis, IN 46240
Phone (463) 220-4646

610 Professional Park Dr
Ste A
New Haven, IN 46774
Phone (260) 279-5044

2633 Napoleon Ave
Ste 703
New Orleans, LA 70115
Phone (504) 301-1271

2006 S Main St
Ste 202
Wake Forest, NC 27587
Phone (919) 300-8269

420 Madison Ave
Ste 503505
New York, NY 10017
Phone (212) 585-3242

3183 Beaver Vu Dr
Beavercreek, OH 45434
Phone (937) 637-1677

3183 Beaver Vu Dr
Ste F
Beavercreek, OH 45434
Phone (937) 637-1677

1144 E Home Rd
Ste C
Springfield, OH 45503
Phone (937) 206-7919

1 Morton Dr
Ste 107
Charlottesville, VA 22903
Phone (833) 236-4327

2000 Morton Dr
Charlottesville, VA 22903

1906B Boulevard
Colonial Heights, VA 23834
Phone (804) 924-4055

1906 Boulevard
#B
Colonial Hgts, VA 23834

22 Enterprise Pkwy
Ste 160
Hampton, VA 23666

11057 Three Chopt Rd
Henrico, VA 23233
Phone (804) 924-4055

9200 Church St
Ste 201
Manassas, VA 20110
Phone (571) 646-5533

441 S Independence Blvd
Ste 1
Virginia Beach, VA 23452
Phone (757) 304-8445

7100 George Washington Mem Hwy
Ste 9
Yorktown, VA 23692
Phone (757) 447-9940

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1154948420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 RADFORD AVE STE A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 RADFORD AVE STE A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303541",
            "telephone_number": "804-924-4055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9200 Church St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201105561",
            "country_code": "US",
            "telephone_number": "571-646-5533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11057 Three Chopt Rd",
            "address_purpose": "LOCATION",
            "city": "Henrico",
            "state": "VA",
            "postal_code": "232332023",
            "country_code": "US",
            "telephone_number": "833-263-4327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3183 Beaver Vu Dr Ste F",
            "address_purpose": "LOCATION",
            "city": "Beavercreek",
            "state": "OH",
            "postal_code": "454346385",
            "country_code": "US",
            "telephone_number": "937-637-1677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1144 E Home Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OH",
            "postal_code": "455032797",
            "country_code": "US",
            "telephone_number": "937-637-1677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6219 Constitution Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468041517",
            "country_code": "US",
            "telephone_number": "260-279-5044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9465 Counselors Row Ste 200",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462403817",
            "country_code": "US",
            "telephone_number": "317-559-2968",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5510 S East St Ste K",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462271938",
            "country_code": "US",
            "telephone_number": "317-559-2968",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "77 S Girls School Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462311198",
            "country_code": "US",
            "telephone_number": "317-559-2968",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "610 Professional Park Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "IN",
            "postal_code": "467741996",
            "country_code": "US",
            "telephone_number": "260-279-5044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 Hurley Ave",
            "address_purpose": "LOCATION",
            "city": "Kingston",
            "state": "NY",
            "postal_code": "124012400",
            "country_code": "US",
            "telephone_number": "845-331-9160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Morton Dr Ste 107",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229036806",
            "country_code": "US",
            "telephone_number": "833-236-4327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1463 W Main St Unit P2",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "VA",
            "postal_code": "241535525",
            "country_code": "US",
            "telephone_number": "833-263-4327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3225 N Franklin St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Christiansburg",
            "state": "VA",
            "postal_code": "240734003",
            "country_code": "US",
            "telephone_number": "833-263-4327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2633 Napoleon Ave Ste 703",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701157420",
            "country_code": "US",
            "telephone_number": "504-301-1271",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4801 Radford Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232303541",
            "country_code": "US",
            "telephone_number": "804-924-4055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "923 Route 6A Ste Dd",
            "address_purpose": "LOCATION",
            "city": "Yarmouth Port",
            "state": "MA",
            "postal_code": "026752231",
            "country_code": "US",
            "telephone_number": "508-526-9101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "648 N River Rd",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605638952",
            "country_code": "US",
            "telephone_number": "630-937-9390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7100 George Washington Mem Hwy Ste 9",
            "address_purpose": "LOCATION",
            "city": "Yorktown",
            "state": "VA",
            "postal_code": "236924935",
            "country_code": "US",
            "telephone_number": "757-447-9940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "441 S Independence Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234521126",
            "country_code": "US",
            "telephone_number": "757-447-9940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1906B Boulevard",
            "address_purpose": "LOCATION",
            "city": "Colonial Heights",
            "state": "VA",
            "postal_code": "238342308",
            "country_code": "US",
            "telephone_number": "804-942-4055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 Mactanly Pl",
            "address_purpose": "LOCATION",
            "city": "Staunton",
            "state": "VA",
            "postal_code": "244012372",
            "country_code": "US",
            "telephone_number": "833-263-4327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REVOLUTION HEARING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-02",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-447-9940"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.