NPIMap

Organization Active NPI

North Bay ENT & Audiology Group LLC

  • Otolaryngology Physician
  • Bel Air, MD
National Provider Identifier
1326618448
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
NORTH BAY ENT & AUDIOLOGY GROUP LLC
Practice address
520 Upper Chesapeake Dr Ste 206
Bel Air, MD 21014-4360
Phone
(410) 879-9100
Fax
(410) 638-0408
NPI assigned
Jun 30, 2021
Last updated
Nov 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Authorized official

Name
Janelle Adolph
Title
Credentialing Coordinator
Phone
(410) 688-9753

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X NU Primary
Audiologist 231H00000X NU
Audiologist-Hearing Aid Fitter 237600000X NU

Addresses

Primary practice location

520 Upper Chesapeake Dr Ste 206
Bel Air, MD 21014-4360

Mailing address

520 Upper Chesapeake Dr Ste 206
Bel Air, MD 21014-4360
Phone (410) 879-9100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231028000587 MD Part B Supplier - Clinic/Group Practice 0840646717 Receives reassigned benefits from 11 practitioners
Practice locations: Baltimore, MD; Bel Air, MD; Havre de Grace, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1326618448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 UPPER CHESAPEAKE DR STE 206",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144360",
            "telephone_number": "410-879-9100",
            "fax_number": "410-638-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 UPPER CHESAPEAKE DR STE 206",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144360",
            "telephone_number": "410-879-9100",
            "fax_number": "410-638-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BAY ENT & AUDIOLOGY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-30",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "ADOLPH",
        "authorized_official_first_name": "JANELLE",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "410-688-9753"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.