Active NPI
Brian Waldman
- Audiologist
- Hammond, IN
National Provider Identifier
1184071995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Practice address
- 7134 Calumet Ave
Hammond, IN 46324-2406 - Phone
- (219) 836-0022
- NPI assigned
- May 22, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | Primary |
Addresses
Primary practice location
7134 Calumet Ave
Hammond, IN 46324-2406
Mailing address
425 Parkchester Rd
Buffalo Grove, IL 60089-6412
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240226003420 | IN | Practitioner - Qualified Audiologist | 4789029059 | 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
- Otolaryngology Associates of Northwest Indiana LLC
Practice addresses (Care Compare)
2211 Main St
Suite 1a
Highland, IN 46322-3514
Phone (219) 836-9368
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Otolaryngology Associates of Northwest Indiana LLC | Audiologist | Current | Accepting new patients |
| Carepointe, P.C. | Past | Accepting new patients |
Locations
2211 Main St
Ste 1A
Highland, IN 46322
Phone (219) 836-2201
2211 Main St
Highland, IN 46322
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 and National Provider Directory roles.
-
- Audiologist
- Highland, IN
- NPI 1124782842
-
- Otolaryngology Physician
- Merrillville, IN
- NPI 1023031911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463875200000",
"number": "1184071995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 PARKCHESTER RD",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600896412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7134 CALUMET AVE",
"city": "HAMMOND",
"state": "IN",
"postal_code": "463242406",
"telephone_number": "219-836-0022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDMAN",
"first_name": "BRIAN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-22",
"last_updated": "2016-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hammond, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2016; 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.