Organization Active NPI

Madison Hearing Health, LLC

  • Hearing and Speech Clinic/Center
  • Madison, IN
National Provider Identifier
1316611700
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
MADISON HEARING HEALTH, LLC
Practice address
529 Clifty Dr
Madison, IN 47250-1608
Phone
(812) 273-6262
Fax
(812) 273-1915
NPI assigned
Aug 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Authorized official

Name
Dr. Benjamin L Hendricks, AU.D.NPI 1477075950
Title
Audiologist, Business Owner
Phone
(812) 273-6262

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X Primary

Addresses

Primary practice location

529 Clifty Dr
Madison, IN 47250-1608

Mailing address

529 Clifty Dr
Madison, IN 47250-1608
Phone (812) 273-6262

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211112001425 IN Part B Supplier - Clinic/Group Practice 7911396916 Receives reassigned benefits from 1 practitioner
Practice locations: Madison, IN

National Provider Directory

National Provider Directory

Locations

529 Clifty Dr
Madison, IN 47250
Phone (812) 273-6262

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628467200000",
    "number": "1316611700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 CLIFTY DR",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472501608",
            "telephone_number": "812-273-6262",
            "fax_number": "812-273-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 CLIFTY DR",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472501608",
            "telephone_number": "812-273-6262",
            "fax_number": "812-273-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON HEARING HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "AUDIOLOGIST, BUSINESS OWNER",
        "authorized_official_telephone_number": "812-273-6262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.