Individual provider Active NPI

Patricia K.B. Chirillo, M.S.

  • Audiologist
  • Wauwatosa, WI
National Provider Identifier
1205016912
Registry record updated Sep 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
73-156 Issued in WI
Practice address
10425 W North Ave
Suite 110
Wauwatosa, WI 53226-2416
Phone
(414) 607-1830
Fax
(414) 607-0127
NPI assigned
Nov 9, 2007
Last updated
Sep 21, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 73-156 WI Primary
Audiologist-Hearing Aid Fitter 237600000X 73-156 WI

Addresses

Primary practice location

10425 W North Ave
Suite 110
Wauwatosa, WI 53226-2416

Mailing address

10425 W North Ave
Suite 110
Wauwatosa, WI 53226-2416
Phone (414) 607-1830

Other identifiers 1

IdentifierTypeStateIssuer
41130300MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120328000979 WI Practitioner - Qualified Audiologist 0547420523 Reassigns benefits to 1 organization
I20230602000993 IL Practitioner - Qualified Audiologist 0547420523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of Wisconsin School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hearing Associates IncGroup PAC ID 3971740903, 4 clinicians

Practice addresses (Care Compare)

755 S Milwaukee Ave
Suite 101
Libertyville, IL 60048-3267
Phone (847) 680-7580

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
73-156WIMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group-Southeast Wisconsin Inc CurrentSince Feb 1, 2022 Accepting new patients
Hearing Associates, Inc Audiologist CurrentSince May 1, 2023 Accepting new patients
Hearing Associates PC Audiologist PastSince May 1, 2023 Accepting new patients
University of Wisconsin System Non Payroll Audiologist PastSince Jul 12, 2016 Accepting new patients

Locations

35 Tower Ct
Ste A
Gurnee, IL 60031
Phone (847) 662-9300

755 S Milwaukee Ave
Libertyville, IL 60048
Phone (847) 680-7002

755 S Milwaukee Ave
Ste 101
Libertyville, IL 60048
Phone (847) 570-2860

755 S Milwaukee Ave
Ste 189
Libertyville, IL 60048
Phone (847) 680-7580

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

3811 Spring St
Ste 202
Mount Pleasant, WI 53405
Phone (262) 687-8202

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

Organizations & group practices 4

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": "1194566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1205016912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10425 W NORTH AVE",
            "address_2": "SUITE 110",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262416",
            "telephone_number": "414-607-1830",
            "fax_number": "414-607-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10425 W NORTH AVE",
            "address_2": "SUITE 110",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262416",
            "telephone_number": "414-607-1830",
            "fax_number": "414-607-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIRILLO",
        "first_name": "PATRICIA",
        "middle_name": "K.B.",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-09",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WI",
            "license": "73-156",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "WI",
            "license": "73-156",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41130300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.

Verify at the official NPI Registry.