Individual provider Active NPI

Samantha Lynn Rensch, AU.D.

  • Audiologist
  • Geneva, IL
National Provider Identifier
1205300829
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147001802 Issued in IL
Practice address
302 Randall Rd Ste 202
Geneva, IL 60134-4204
Phone
(630) 938-3900
Fax
(630) 938-3910
NPI assigned
Jan 16, 2019
Last updated
Sep 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 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 147001802 IL Primary

Addresses

Primary practice location

302 Randall Rd Ste 202
Geneva, IL 60134-4204

Mailing address

302 Randall Rd Ste 202
Geneva, IL 60134-4204
Phone (630) 938-3900

Other practice location 1

25 N Winfield Rd Ste 519
Winfield, IL 60190-1379
Phone (630) 938-6161

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210616000246 IL Practitioner - Qualified Audiologist 7214270826 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Dupage Physician GroupGroup PAC ID 5890696231, 1,087 clinicians

Practice addresses (Care Compare)

302 Randall Rd
Geneva, IL 60134-4209
Phone (630) 377-7900

660 N Westmoreland Rd
302 Lake Forest OBGYN
Lake Forest, IL 60045-1673
Phone (312) 926-6146

675 N Saint Clair St
Chicago, IL 60611-5975

675 N St Clair
Chicago, IL 60611-5975

Merit-based Incentive Payment System (MIPS)

Final score
95.63 of 100Reported as apm
Quality
88.47
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2352KSMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Physician Group CurrentSince Jun 30, 2021 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Nov 17, 2025 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Nov 17, 2025 Accepting new patients
Central Dupage Physician Group CurrentSince Jun 30, 2021 Accepting new patients
Topeka Ear, Nose, and Throat,PA Audiologist PastSince Jan 1, 2019 Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

302 Randall Rd
Geneva, IL 60134
Phone (630) 208-6775

302 Randall Rd
Ste 202
Geneva, IL 60134
Phone (630) 232-1818

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

0N025 Winfield Rd
Winfield, IL 60190
Phone (630) 832-0050

25 N Winfield Rd
Ste 505
Winfield, IL 60190
Phone (630) 614-4255

25 N Winfield Rd
Ste 519
Winfield, IL 60190
Phone (630) 938-6161

Organizations & group practices 5

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": "1547596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1205300829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 RANDALL RD STE 202",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344204",
            "telephone_number": "630-938-3900",
            "fax_number": "630-938-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 RANDALL RD STE 202",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344204",
            "telephone_number": "630-938-3900",
            "fax_number": "630-938-3910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 N Winfield Rd Ste 519",
            "address_purpose": "LOCATION",
            "city": "Winfield",
            "state": "IL",
            "postal_code": "601901379",
            "country_code": "US",
            "telephone_number": "630-938-6161",
            "fax_number": "630-938-6186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENSCH",
        "first_name": "SAMANTHA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-16",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147001802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.