Kelli Pugh Smith, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AUD003627 Issued in VA

Practice address

901 Enterprise Pkwy Ste 300
Hampton, VA 23666-6249

Phone

(757) 825-2500

Fax

(757) 825-2521

NPI assigned

Oct 6, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Qualified Audiologist

Education

University of Florida College of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hampton Roads Otolaryngology Associates PLLCGroup PAC ID 7012820848, 21 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.94 of 100Reported as group

Quality

82.83

Promoting interoperability

100

Improvement activities

40

Cost

76.96

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hampton Roads Otolaryngology Associates PLLC

  • Otolaryngic Allergy Physician
  • Hampton, VA
  • NPI 1700939980
  Medicare reassignment Care Compare group NPD
• Hampton Roads Otolaryngology Associates PLLC

  • Non-Pharmacy Dispensing Site
  • Hampton, VA
  • NPI 1053742031
  NPD (past)
• Advanced Hearing & Balance Center

  • Audiologist
  • Brunswick, GA
  • NPI 1497727564
  NPD (past)

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1326035148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 ENTERPRISE PKWY",
            "address_2": "STE 300",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236666249",
            "telephone_number": "757-825-2500",
            "fax_number": "757-825-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 ENTERPRISE PKWY STE 300",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236666249",
            "telephone_number": "757-825-2500",
            "fax_number": "757-825-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KELLI",
        "middle_name": "PUGH",
        "name_prefix": "Mrs.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-06",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "AUD003627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "236186432A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Edward Smith
• Jazmyne Day Smith
• Jenna Napier Smith, MS, OTR/L
• Joshua Richard Smith, M.D.
• Juanita Lynn Smith, MD
• Krystina Janae Smith
• Kwesi Azikiwe Smith, DPT
• Laura G Smith, CRNA
• Lucy Holloway Smith, MSN, RN
• Michael Willis Smith Jr., MD

• Audiologist in Hampton, VA
• Providers in Hampton, VA by specialty
• Audiologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; 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.