Individual provider Active NPI

Susan Mathew, AUD

  • Audiologist
  • Las Vegas, NV
National Provider Identifier
1326864331
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A-4112 Issued in NV
Practice address
6475 N Decatur Blvd Ste 125
Las Vegas, NV 89131-2943
Phone
(702) 933-9103
Fax
(702) 933-9104
NPI assigned
Nov 25, 2024
Last updated
Nov 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A-4112 NV Primary

Addresses

Primary practice location

6475 N Decatur Blvd Ste 125
Las Vegas, NV 89131-2943

Mailing address

6475 N Decatur Blvd Ste 125
Las Vegas, NV 89131-2943
Phone (702) 933-9103

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241220002176 NV Practitioner - Qualified Audiologist 4981131513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6475 N Decatur Blvd
Suite 125
Las Vegas, NV 89131-2943
Phone (702) 933-9103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A-4112NVMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Services Company USA, LLC Audiologist CurrentSince Dec 17, 2024 Accepting new patients
Audiology Services Company USA, LLC CurrentSince Dec 17, 2024 Accepting new patients

Locations

2501 Cottontail Ln
Somerset, NJ 08873
Phone (732) 564-7115

3120 S Rainbow Blvd
Ste 202
Las Vegas, NV 89146
Phone (702) 233-4327

6475 N Decatur Blvd
Ste 125
Las Vegas, NV 89131
Phone (702) 933-9103

9330 Sun City Blvd
Ste 104
Las Vegas, NV 89134
Phone (702) 869-8069

Organizations & group practices 2

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": "1732492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1326864331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6475 N DECATUR BLVD STE 125",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891312943",
            "telephone_number": "702-933-9103",
            "fax_number": "702-933-9104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6475 N DECATUR BLVD STE 125",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891312943",
            "telephone_number": "702-933-9103",
            "fax_number": "702-933-9104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "SUSAN",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NV",
            "license": "A-4112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.