Individual provider Active NPI

Madison Ann Dyjak

  • Audiologist
  • New Port Richey, FL
National Provider Identifier
1386388197
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY2498 Issued in FL
Practice address
11325 Little Rd
New Port Richey, FL 34654-1218
Phone
(800) 610-0399
NPI assigned
Apr 27, 2022
Last updated
May 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY2498 FL Primary

Addresses

Primary practice location

11325 Little Rd
New Port Richey, FL 34654-1218

Mailing address

4075 Mariner Blvd
Spring Hill, FL 34609-2467
Phone (800) 610-0399

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230522001384 FL Practitioner - Qualified Audiologist 5698149466 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AY2498FLMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Davis Family Hearing Inc. Audiologist CurrentSince May 1, 2022 Accepting new patients
Audiology Distribution, LLC CurrentSince Mar 28, 2025 Accepting new patients
West Coast Ear, Nose & Throat Inc CurrentSince Mar 9, 2023 Accepting new patients
Hearusa Inc Past Accepting new patients

Locations

1330 S Fort Harrison Ave
Clearwater, FL 33756
Phone (727) 216-0700

5020 E Bay Dr
Ste 800
Clearwater, FL 33764
Phone (727) 330-9676

646 Virginia St
#3
Dunedin, FL 34698

646 Virginia St
Fl 3
Dunedin, FL 34698
Phone (727) 441-3588

646 Virginia St
Ste 3
Dunedin, FL 34698

3251 Hollywood Blvd
Ste 424
Hollywood, FL 33021
Phone (954) 963-6305

800 E Merritt Island Cswy
Ste 104
Merritt Island, FL 32952
Phone (321) 735-4942

11325 Little Rd
New Prt Rchy, FL 34654
Phone (352) 666-8910

4075 Mariner Blvd
Spring Hill, FL 34609
Phone (352) 666-8910

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1528

Organizations & group practices 4

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": "1651017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1386388197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4075 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346092467",
            "telephone_number": "800-610-0399",
            "fax_number": "813-565-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11325 LITTLE RD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346541218",
            "telephone_number": "800-610-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYJAK",
        "first_name": "MADISON",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY2498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.