Individual provider Active NPI

Mary Ann Dworak, AUD, CCC-A

  • Audiologist
  • Chevy Chase, MD
National Provider Identifier
1386872125
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
00889 Issued in MD
Practice address
5454 Wisconsin Ave Ste 1540
Chevy Chase, MD 20815-6954
Phone
(301) 652-8847
Fax
(301) 652-3751
NPI assigned
Jul 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 889 MD
Audiologist 231H00000X 00889 MD Primary

Addresses

Primary practice location

5454 Wisconsin Ave Ste 1540
Chevy Chase, MD 20815-6954

Mailing address

5454 Wisconsin Ave Ste 1535
Chevy Chase, MD 20815-6922
Phone (301) 652-8847

Other practice location 1

12850 Middlebrook Rd Ste 410
Germantown, MD 20874-5281
Phone (301) 652-8847

Other practice location 2

6410 Rockledge Dr Ste 305
Bethesda, MD 20817-1841
Phone (301) 652-8847

Other practice location 3

5454 Wisconsin Ave Ste 1535
Chevy Chase, MD 20815-6922
Phone (301) 652-8847

Other practice location 4

801 Toll House Ave
Suite D-3
Frederick, MD 21701-4564
Phone (301) 846-0222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190910000861 DC Practitioner - Qualified Audiologist 1355670894 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centers for Advanced ENT Care LLCGroup PAC ID 1658647359, 103 clinicians

Practice addresses (Care Compare)

5454 Wisconsin Ave
Suite 1535
Chevy Chase, MD 20815-6922
Phone (301) 652-8847

6410 Rockledge Dr
Suite 305
Bethesda, MD 20817-1841
Phone (301) 652-8847

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00889MDMDPodiatrist
889MDMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Distribution, LLC Audiologist-Hearing Aid Fitter CurrentSince Aug 22, 2022 Accepting new patients
Hearx West, LLC Audiologist-Hearing Aid Fitter PastSince Aug 22, 2022 Accepting new patients

Locations

835 Rockville Pike
Ste I
Rockville, MD 20852
Phone (301) 978-3593

6647B Old Dominion Dr
Mc Lean, VA 22101
Phone (703) 663-1057

Organizations & group practices 3

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": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1386872125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5454 WISCONSIN AVE STE 1535",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208156922",
            "telephone_number": "301-652-8847",
            "fax_number": "301-652-3751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 WISCONSIN AVE STE 1540",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208156954",
            "telephone_number": "301-652-8847",
            "fax_number": "301-652-3751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12850 Middlebrook Rd Ste 410",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "MD",
            "postal_code": "208745281",
            "country_code": "US",
            "telephone_number": "301-652-8847",
            "fax_number": "301-515-8090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6410 Rockledge Dr Ste 305",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208171841",
            "country_code": "US",
            "telephone_number": "301-652-8847",
            "fax_number": "301-581-0615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5454 Wisconsin Ave Ste 1535",
            "address_purpose": "LOCATION",
            "city": "Chevy Chase",
            "state": "MD",
            "postal_code": "208156922",
            "country_code": "US",
            "telephone_number": "301-652-8847",
            "fax_number": "301-652-3751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 Toll House Ave",
            "address_2": "Suite D-3",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217014564",
            "country_code": "US",
            "telephone_number": "301-846-0222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DWORAK",
        "first_name": "MARY",
        "middle_name": "ANN",
        "credential": "AUD, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-01",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MD",
            "license": "889",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "00889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.