Malisha Lynn Martukovich, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

Practice address

10TH Medical Group
4102 Pinion Drive
Colorado Springs, CO 80840

Phone

(719) 333-5898

NPI assigned

Oct 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Malisha Lynn Patel Former name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• 360Care Audiology of TX LLC

  • Audiologist
  • Austin, TX
  • NPI 1255228680
  Medicare reassignment

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1386726164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10TH MEDICAL GROUP",
            "address_2": "4102 PINION DRIVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80840",
            "telephone_number": "937-216-8871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10TH MEDICAL GROUP",
            "address_2": "4102 PINION DRIVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80840",
            "telephone_number": "719-333-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTUKOVICH",
        "first_name": "MALISHA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALISHA",
            "last_name": "PATEL",
            "middle_name": "LYNN",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Martinich Enterprises, LLC
• Matthew Martinich, PSY.D.
• Brianna Martino
• Stephanie Martins, DDS
• Wesley John Martins, MS CCC-SLP
• Aimee Joanne Martz Dick, MA, LPC
• Barbara Diane Martz, MA LPC
• Erin Elizabeth Maruzzella, MA CCC-SLP
• Jared Marx
• Lacy J Marx, MA LPC

• Audiologist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Audiologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.