Individual provider Active NPI

Matthew Sabo, AUD, CCC-A

  • Audiologist
  • Abingdon, VA
National Provider Identifier
1164196929
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2201001878 Issued in VA
Practice address
612 Campus Dr
Abingdon, VA 24210-9699
Phone
(276) 676-0001
NPI assigned
Aug 5, 2021
Last updated
Sep 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 271232 KY
Audiologist 231H00000X 2201001878 VA Primary

Addresses

Primary practice location

612 Campus Dr
Abingdon, VA 24210-9699

Mailing address

1720 Nicholasville Rd Ste 500
Lexington, KY 40503-1487
Phone (859) 278-1114

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221012001773 VA Practitioner - Qualified Audiologist 6800291428 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sabo Audiology LLC Audiologist CurrentSince Feb 2, 2026 Accepting new patients
Alpaca Audiology - in & VA LLC Audiologist Past Accepting new patients

Locations

966 W Main St
Ste E
Abingdon, VA 24210
Phone (276) 285-2327

Organizations & group practices 2

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": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1164196929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 NICHOLASVILLE RD STE 500",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031487",
            "telephone_number": "859-278-1114",
            "fax_number": "859-277-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 CAMPUS DR",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242109699",
            "telephone_number": "276-676-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABO",
        "first_name": "MATTHEW",
        "credential": "AUD, CCC-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-05",
        "last_updated": "2023-09-07",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KY",
            "license": "271232",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201001878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.