Individual provider Active NPI

Rose Hart, AU.D.

  • Audiologist
  • Chicago, IL
National Provider Identifier
1336605757
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
1444 W Willow St
Chicago, IL 60642-1503
Phone
(773) 248-9176
NPI assigned
Feb 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X Primary

Addresses

Primary practice location

1444 W Willow St
Chicago, IL 60642-1503

Mailing address

1444 W Willow St
Chicago, IL 60642-1503
Phone (773) 248-9121

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191119000640 IL Practitioner - Qualified Audiologist 8820420516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lester and Rosalie Anixter CenterGroup PAC ID 4183697600, 5 clinicians

Practice addresses (Care Compare)

2017 N Mendell St
Suite 3NE
Chicago, IL 60614-3033
Phone (773) 248-9121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lester and Rosalie Anixter Center Audiologist CurrentSince Sep 22, 2019 Accepting new patients

Locations

6610 N Clark St
Chicago, IL 60626
Phone (773) 761-1501

2017 N Mendell St
Ste 3NE
Chicago, IL 60614
Phone (773) 248-9121

1444 W Willow St
Chicago, IL 60642
Phone (773) 248-9121

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1336605757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 W WILLOW ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606421503",
            "telephone_number": "773-248-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 W WILLOW ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606421503",
            "telephone_number": "773-248-9176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-11",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.