Individual provider Active NPI

Katherine Elise Kocak, AUD

  • Audiologist
  • Des Peres, MO
National Provider Identifier
1306415054
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2022023804 Issued in MO
Practice address
1010 Old Des Peres Rd
Des Peres, MO 63131-1865
Phone
(314) 729-0077
NPI assigned
Jun 17, 2021
Last updated
Jun 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2022023804 MO Primary

Addresses

Primary practice location

1010 Old Des Peres Rd
Des Peres, MO 63131-1865

Mailing address

PO Box 14369
Saint Louis, MO 63178-4369
Phone (314) 729-0077

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220630000450 MO Practitioner - Qualified Audiologist 1153723549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of North Carolina at Chapel Hill School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology of St Louis IncGroup PAC ID 6204723786, 112 clinicians

Practice addresses (Care Compare)

1010 Old Des Peres Rd
Des Peres, MO 63131-1865
Phone (314) 729-0077

Merit-based Incentive Payment System (MIPS)

Final score
79.16 of 100Reported as group
Quality
55.68
Promoting interoperability
100
Improvement activities
40
Cost
74.84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2022023804MOMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Urology of St. Louis, Inc. CurrentSince Aug 5, 2024 Accepting new patients
Urology of St. Louis, Inc. CurrentSince Aug 5, 2024 Accepting new patients
Crossroads Speech & Hearing, Inc. Audiologist CurrentSince Jun 23, 2021 Accepting new patients
Urology of St. Louis, Inc. PastSince Mar 24, 2025 Accepting new patients
Crossroads Speech & Hearing, Inc. PastSince Jun 1, 2021 Accepting new patients

Locations

226 S Woods Mill Rd
Ste 37W
Chesterfield, MO 63017
Phone (314) 434-1400

1001 S Kirkwood Rd
Ste 320
Saint Louis, MO 63122
Phone (314) 722-4545

1010 Old des Peres Rd
Saint Louis, MO 63131
Phone (314) 238-2535

12855 N 40 Dr
Saint Louis, MO 63141
Phone (314) 432-4415

2539 Washington Rd
Ste 1010
Pittsburgh, PA 15241
Phone (724) 941-4434

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": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1306415054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14369",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631784369",
            "telephone_number": "314-729-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 OLD DES PERES RD",
            "city": "DES PERES",
            "state": "MO",
            "postal_code": "631311865",
            "telephone_number": "314-729-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCAK",
        "first_name": "KATHERINE",
        "middle_name": "ELISE",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-17",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MO",
            "license": "2022023804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Peres, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.