Individual provider Active NPI

Sara Witek, AU.D

  • Audiologist
  • Boston, MA
National Provider Identifier
1265068894
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
4935 Issued in MA
Practice address
243 Charles St
Boston, MA 02114-3096
Phone
(617) 573-3266
NPI assigned
Mar 16, 2020
Last updated
Aug 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 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 4935 MA Primary

Addresses

Primary practice location

243 Charles St
Boston, MA 02114-3096

Mailing address

243 Charles St
Boston, MA 02114-3096
Phone (617) 573-3266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, MA, CT3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200716004025 MI Practitioner - Qualified Audiologist 7012331564 Reassigns benefits to 4 organizations
I20230203000986 MA Practitioner - Qualified Audiologist 7012331564
I20260304003633 CT Practitioner - Qualified Audiologist 7012331564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ear, Nose and Throat Associates of Worcester, Inc.Group PAC ID 7416024419, 4 clinicians

Practice addresses (Care Compare)

145 Pomfret St
Putnam, CT 06260-1803
Phone (860) 928-7330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4935MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Medical Center Current Accepting new patients
Munson Healthcare Grayling CurrentSince Jul 15, 2020 Accepting new patients
Munson Medical Center CurrentSince Dec 23, 2020 Accepting new patients
Munson Healthcare Grayling Audiologist CurrentSince Jul 15, 2020 Accepting new patients
Ear, Nose & Throat Associates of Worcester, Inc. Audiologist CurrentSince Feb 18, 2026 Accepting new patients
Munson Medical Center Audiologist CurrentSince Jul 15, 2020 Accepting new patients
Grand Traverse Pathology, PLLC Current Accepting new patients
Paul Oliver Memorial Hospital Current Accepting new patients
Paul Oliver Memorial Hospital CurrentSince Jul 15, 2020 Accepting new patients
Paul Oliver Memorial Hospital Audiologist CurrentSince Jul 15, 2020 Accepting new patients
Munson Healthcare Grayling Current Accepting new patients
Munson Medical Center CurrentSince Jul 15, 2020 Accepting new patients

Locations

145 Pomfret St
Putnam, CT 06260
Phone (860) 928-5248

2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031

3781 Momentum Pl
Chicago, IL 60689

246 Southbridge Rd
Charlton, MA 01507
Phone (508) 248-4801

224 Park Ave
Frankfort, MI 49635
Phone (231) 352-2200

1250 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0550

1250 E Michigan Ave
Ste C
Grayling, MI 49738
Phone (989) 348-0550

106 S Madison St
Traverse City, MI 49684
Phone (231) 935-6650

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

1105 Sixth St
Ste 103
Traverse City, MI 49684
Phone (231) 935-6455

1221 Sixth St
Ste 103
Traverse City, MI 49684
Phone (231) 935-6455

1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000

Organizations & group practices 12

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": "1584316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1265068894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 CHARLES ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021143096",
            "telephone_number": "617-573-3266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 CHARLES ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021143096",
            "telephone_number": "617-573-3266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITEK",
        "first_name": "SARA",
        "credential": "AU.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-16",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MA",
            "license": "4935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.