Individual provider Active NPI

Rudolph Aloysius Chmelik, AU.D. CCC-A

  • Audiologist
  • Indianapolis, IN
National Provider Identifier
1215955315
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
23002674A Issued in IN
Practice address
6920 Parkdale PL Ste 210
Indianapolis, IN 46254-5611
Phone
(866) 284-8788
NPI assigned
Jul 17, 2006
Last updated
Oct 31, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 7737 MN
Audiologist 231H00000X A.01875 OH
Audiologist 231H00000X 23002674A IN Primary
Audiologist 231H00000X 2595 MN

Addresses

Primary practice location

6920 Parkdale PL Ste 210
Indianapolis, IN 46254-5611

Mailing address

3560 Watson Rd
Indianapolis, IN 46205-3546
Phone (612) 306-4164

Other names 1

  • Dr. Rudy Chmelik Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251230001653 IN Practitioner - Qualified Audiologist 0042259913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Audiology Associates PCGroup PAC ID 3678465283, 26 clinicians

Practice addresses (Care Compare)

7823 Old State Rd
Suite 60
Sellersburg, IN 47172-1858
Phone (888) 964-6681

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7737MNMDPhysical Therapist
23002674AINMDAudiologist
A.01875OHMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Audiology Associates, PC Audiologist CurrentSince Dec 8, 2025 Accepting new patients
Mobile Audiology Associates, P.C. Audiologist CurrentSince Dec 8, 2025 Accepting new patients

Locations

7823 Old State Road 60
Sellersburg, IN 47172
Phone (812) 246-4272

100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486

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, 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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1215955315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 WATSON RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462053546",
            "telephone_number": "612-306-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6920 PARKDALE PL STE 210",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545611",
            "telephone_number": "866-284-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHMELIK",
        "first_name": "RUDOLPH",
        "middle_name": "ALOYSIUS",
        "name_prefix": "Dr.",
        "credential": "AU.D. CCC-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MN",
            "license": "7737",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A.01875",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IN",
            "license": "23002674A",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MN",
            "license": "2595",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUDY",
            "last_name": "CHMELIK",
            "prefix": "DR.",
            "credential": "AU.D. CCC-A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; 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.