Individual provider Active NPI

Sarah Allison Klemuk, AU.D.

  • Audiologist
  • Iowa City, IA
National Provider Identifier
1356837033
Registry record updated Jul 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
087494 Issued in IA
Practice address
2615 Northgate Dr
Iowa City, IA 52245-9565
Phone
(319) 351-5680
NPI assigned
Jul 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 087494 IA Primary

Addresses

Primary practice location

2615 Northgate Dr
Iowa City, IA 52245-9565

Mailing address

2615 Northgate Dr
Iowa City, IA 52245-9565

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180810002052 IA Practitioner - Qualified Audiologist 2264780063 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
ENT Medical Services PC CurrentSince Jul 10, 2018 Accepting new patients

Locations

2615 Northgate Dr
Iowa City, IA 52245
Phone (319) 337-6879

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": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530835200000",
    "number": "1356837033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 NORTHGATE DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522459565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 NORTHGATE DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522459565",
            "telephone_number": "319-351-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEMUK",
        "first_name": "SARAH",
        "middle_name": "ALLISON",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-06",
        "last_updated": "2018-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IA",
            "license": "087494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2018; 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.