Samantha Bloodgood, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

147.001985 Issued in IL

Practice address

2604 Dempster St Ste 501
Park Ridge, IL 60068-8429

Phone

(847) 674-5585

NPI assigned

Dec 19, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midwest ENT Alliance PLLCGroup PAC ID 5294276259, 97 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Midwest ENT Alliance PLLC

  • Otolaryngology Physician
  • Orland Park, IL
  • NPI 1588449458
  Medicare reassignment Care Compare group NPD
• Ear, Nose & Throat Specialists of Illinois LTD

  • Specialist
  • Park Ridge, IL
  • NPI 1750340949
  Medicare reassignment NPD
• Hearing Professionals of Il LTD

  • Audiologist
  • Park Ridge, IL
  • NPI 1003010364
  Medicare reassignment
• Bastian Voice Institute, LLC

  • Otolaryngology Physician
  • Downers Grove, IL
  • NPI 1922122571
  NPD (past)

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1194593079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2246 W LAWRENCE AVE UNIT 402",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606257550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 DEMPSTER ST STE 501",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600688429",
            "telephone_number": "847-674-5585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8780 W Golf Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Niles",
            "state": "IL",
            "postal_code": "607145611",
            "country_code": "US",
            "telephone_number": "847-674-5585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLOODGOOD",
        "first_name": "SAMANTHA",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-19",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147.001985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Blair
• Roberta E Blandon, M.D.
• Estela D. Blei, M.D.
• Danielle S Blocker
• Sivan Blonz, MS
• Patricia Jean Bloom, MD
• Bluestone Capital Group Inc
• Martin Bernard Blumberg, MD
• Michael Blumberg, M.A., L.C.P.C
• Andrea M. Blumstein, M.D.

• Audiologist in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Audiologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.