Individual provider Active NPI

David I Alexander

  • Audiologist
  • Frederick, MD
National Provider Identifier
1225410772
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
01373 Issued in MD
Practice address
101 Clarke PL
Frederick, MD 21701-6529
Phone
(301) 360-1460
Fax
(301) 360-1403
NPI assigned
Jun 22, 2015
Last updated
Apr 5, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 01373 MD Primary
Audiologist 231H00000X SLPAUD00219027 KY
Audiologist 231H00000X A.01971 OH

Addresses

Primary practice location

101 Clarke PL
Frederick, MD 21701-6529

Mailing address

101 Clarke PL
Frederick, MD 21701-6529
Phone (301) 360-1460

Other identifiers 3

IdentifierTypeStateIssuer
A.01971OtherOHOHIO AUDIOLOGY LICENSE
01373OtherMDMARYLAND BOARD OF AUDIOLOGISTS, HEARING AID DISPENSERS & SPEECH-LANGUAGE PATHOLO
SLPAUD00219027OtherKYKENTUCKY AUDIOLOGY LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200207000826 DC Practitioner - Qualified Audiologist 9335426154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8218 Wisconsin Ave
Suite 106
Bethesda, MD 20814-3107
Phone (301) 656-1933

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SLPAUD00219027KYMDAudiologist
A.01971OHMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Independence Hearing Group, LLC Audiologist CurrentSince Feb 4, 2025 Accepting new patients
State of Maryland Past Accepting new patients

Locations

8218 Wisconsin Ave
Ste 106
Bethesda, MD 20814
Phone (301) 656-1933

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": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459814400000",
    "number": "1225410772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CLARKE PL",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016529",
            "telephone_number": "301-360-1460",
            "fax_number": "301-360-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CLARKE PL",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016529",
            "telephone_number": "301-360-1460",
            "fax_number": "301-360-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "DAVID",
        "middle_name": "I",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-22",
        "last_updated": "2016-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "01373",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KY",
            "license": "SLPAUD00219027",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A.01971",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO AUDIOLOGY LICENSE",
            "identifier": "A.01971",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND BOARD OF AUDIOLOGISTS, HEARING AID DISPENSERS & SPEECH-LANGUAGE PATHOLO",
            "identifier": "01373",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY AUDIOLOGY LICENSE",
            "identifier": "SLPAUD00219027",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.