Active NPI
Michelle Ashley Kiedaisch, AU.D.
- Audiologist
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Practice address
- 925 Chestnut St FL 6
Philadelphia, PA 19107-4204 - Phone
- (800) 533-3669
- NPI assigned
- Apr 4, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | Primary |
Addresses
Primary practice location
925 Chestnut St FL 6
Philadelphia, PA 19107-4204
Mailing address
1900 Frontage Rd Apt 1711
Cherry Hill, NJ 08034-2217
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, PA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2211 Chapel Ave W
Suite 403
Cherry Hill, NJ 08002-2048
Phone (856) 922-5030
354 Hurffville Crosskeys Rd
BLDG 2
Sewell, NJ 08080-3550
Phone (844) 542-2273
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.54 of 100
- Quality
- 89.88
- Promoting interoperability
- 87
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kennedy Medical Group Practice PC | Current | Accepting new patients | |
| Jefferson University Physicians | Current | Accepting new patients | |
| Kennedy Medical Group P.C. | Current | Accepting new patients | |
| Kennedy Medical Group Practice, P.C. | Current | Accepting new patients | |
| Jefferson University Physicians of New Jersey, P.C. | Current | Accepting new patients |
Locations
457 Haddonfield Rd
Ste 110
Cherry Hill, NJ 08002
Phone (856) 406-4091
2211 Chapel Ave W
Ste 403
Cherry Hill, NJ 08002
Phone (856) 922-5030
354 Hurffville Crosskeys Rd
Bldg 2
Sewell, NJ 08080
Phone (856) 566-3190
443 Laurel Oak Rd
Ste 130
Voorhees, NJ 08043
Phone (856) 741-0122
1101 Market St
Fl 19
Philadelphia, PA 19107
Phone (215) 481-6836
1101 Chestnut St
Philadelphia, PA 19107
Phone (215) 955-6760
925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760
Interoperability endpoints
- mkiedaisch@advancedent.emadirect.md
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Voorhees, NJ
- NPI 1083039200
-
- Family Medicine Physician
- Voorhees, NJ
- NPI 1952726796
-
- General Practice Physician
- Philadelphia, PA
- NPI 1326093675
-
- Psychologist
- Voorhees, NJ
- NPI 1609314004
-
- Family Medicine Physician
- Sewell, NJ
- NPI 1952848905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741651200000",
"number": "1285339671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 FRONTAGE RD APT 1711",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080342217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 CHESTNUT ST FL 6",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074204",
"telephone_number": "800-533-3669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIEDAISCH",
"first_name": "MICHELLE",
"middle_name": "ASHLEY",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-04",
"last_updated": "2025-03-11",
"certification_date": "2025-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.