Individual provider Active NPI

Kateryna Karayanidi, AU.D.

  • Audiologist
  • Trumbull, CT
National Provider Identifier
1376065334
Registry record updated Jul 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
000592 Issued in CT
Practice address
15 Corporate Dr Ste 2-8
Trumbull, CT 06611-1351
Phone
(203) 452-7081
Fax
(203) 452-7089
NPI assigned
Jul 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 000592 CT Primary

Addresses

Primary practice location

15 Corporate Dr Ste 2-8
Trumbull, CT 06611-1351

Mailing address

81 Pond St
Stratford, CT 06614-5224
Phone (203) 685-5872

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170816000294 CT Practitioner - Qualified Audiologist 5597037234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of Connecticut School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

15 Corporate Dr
Suite 2 8
Trumbull, CT 06611-1351
Phone (203) 452-7081

Merit-based Incentive Payment System (MIPS)

Final score
98.71 of 100Reported as group
Quality
97.42
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000592CTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Ear Nose Throat Medical and Surgical Specialists PC CurrentSince Jun 25, 2017 Accepting new patients

Locations

15 Corporate Dr
Ste 2-8
Trumbull, CT 06611
Phone (203) 452-7081

15 Corporate Dr
Ste 28
Trumbull, CT 06611
Phone (203) 452-7081

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": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499817600000",
    "number": "1376065334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 POND ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066145224",
            "telephone_number": "203-685-5872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CORPORATE DR STE 2-8",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066111351",
            "telephone_number": "203-452-7081",
            "fax_number": "203-452-7089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARAYANIDI",
        "first_name": "KATERYNA",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2017-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CT",
            "license": "000592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumbull, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2017; 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.