Individual provider Active NPI

Angela Moltrup, AU.D.

  • Audiologist
  • Ithaca, NY
National Provider Identifier
1174074512
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
002861 Issued in NY
Practice address
2 Ascot PL
Ithaca, NY 14850-1072
Phone
(607) 266-0772
NPI assigned
Oct 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 002861 NY Primary

Addresses

Primary practice location

2 Ascot PL
Ithaca, NY 14850-1072

Mailing address

2 Ascot PL
Ithaca, NY 14850-1072
Phone (607) 266-0772

Other names 1

  • Angela Crast Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191022000594 NY Practitioner - Qualified Audiologist 9931461688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cayuga Ear, Nose, Throat-Head and Neck Surgery, PLLCGroup PAC ID 4587754379, 4 clinicians

Practice addresses (Care Compare)

2 Ascot PL
Ithaca, NY 14850-1072

2 Ascot Place
Ithaca, NY 14850-1072

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
82.87
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cayuga Ear, Nose, Throat-Head & Neck Surgery, PLLC CurrentSince Sep 3, 2019 Accepting new patients

Locations

2 Ascot Pl
Ithaca, NY 14850
Phone (607) 266-0772

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1174074512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ASCOT PL",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501072",
            "telephone_number": "607-266-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ASCOT PL",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501072",
            "telephone_number": "607-266-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLTRUP",
        "first_name": "ANGELA",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-20",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "002861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "CRAST",
            "credential": "AU.D., CCC-A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ithaca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.