Individual provider Active NPI

Keith Allan Rodgers, AU.D., CCC-A, ABAC

  • Audiologist
  • Indianapolis, IN
National Provider Identifier
1396474227
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
23002793A Issued in IN
Practice address
8330 Naab Rd Ste 235
Indianapolis, IN 46260-1932
Phone
(317) 926-9117
Fax
(317) 923-5729
NPI assigned
Jun 7, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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 23002793A IN
Audiologist 231H00000X 23002793A IN Primary

Addresses

Primary practice location

8330 Naab Rd Ste 235
Indianapolis, IN 46260-1932

Mailing address

8330 Naab Rd Ste 235
Indianapolis, IN 46260-1932
Phone (317) 926-9117

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220617002406 IN Practitioner - Qualified Audiologist 2961881172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard Kurtz MD Professional CorporationGroup PAC ID 3173680261, 2 clinicians

Practice addresses (Care Compare)

8330 Naab Rd
Suite 325
Indianapolis, IN 46260-5925
Phone (317) 926-9117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Kurtz MD Professional Corporation CurrentSince Sep 3, 2025 Accepting new patients

Locations

8330 Naab Rd
Ste 235
Indianapolis, IN 46260
Phone (317) 228-9270

8330 Naab Rd
Ste 325
Indianapolis, IN 46260
Phone (317) 926-9117

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": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1396474227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8330 NAAB RD STE 235",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601932",
            "telephone_number": "317-926-9117",
            "fax_number": "317-923-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8330 NAAB RD STE 235",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601932",
            "telephone_number": "317-926-9117",
            "fax_number": "317-923-5729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "KEITH",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "AU.D., CCC-A, ABAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-07",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "IN",
            "license": "23002793A",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IN",
            "license": "23002793A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.