Individual provider Active NPI

Glenn Elms, AUD

  • Audiologist
  • Rockville, MD
National Provider Identifier
1417620329
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
01618 Issued in MD
Practice address
11119 Rockville Pike Ste 210
Rockville, MD 20852-3200
Phone
(301) 468-3977
Fax
(301) 468-3978
NPI assigned
Jul 27, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AT006748 PA
Audiologist 231H00000X 01618 MD Primary

Addresses

Primary practice location

11119 Rockville Pike Ste 210
Rockville, MD 20852-3200

Mailing address

19110 Montgomery Village Ave Ste 120
Montgomery Village, MD 20886-3706
Phone (301) 977-6317

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221121000440 MD Practitioner - Qualified Audiologist 1658769245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aanda Hearing Group LLCGroup PAC ID 1456493543, 24 clinicians

Practice addresses (Care Compare)

5530 Wisconsin Ave
Suite 104
Chevy Chase, MD 20815-4423
Phone (301) 907-0002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AT006748PAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
A&a Hearing Group, LLC Audiologist Current Accepting new patients
A&a Hearing Group, LLC Audiologist CurrentSince Sep 26, 2022 Accepting new patients
A&a Hearing Group, LLC Audiologist Current Accepting new patients

Locations

5530 Wisconsin Ave
Ste 104
Chevy Chase, MD 20815
Phone (301) 907-0002

5100 Buckeystown Pike
Ste 285
Frederick, MD 21704
Phone (301) 846-0222

18310 Montgomery Village Ave
Ste 520
Gaithersburg, MD 20879
Phone (301) 977-6317

19110 Montgomery Village Ave
Ste 120
Montgomry Vlg, MD 20886
Phone (301) 977-6317

11119 Rockville Pike
Ste 210
Rockville, MD 20852
Phone (301) 468-3977

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": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1417620329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19110 MONTGOMERY VILLAGE AVE STE 120",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208863706",
            "telephone_number": "301-977-6317",
            "fax_number": "301-977-8503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11119 ROCKVILLE PIKE STE 210",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523200",
            "telephone_number": "301-468-3977",
            "fax_number": "301-468-3978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMS",
        "first_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-27",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT006748",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "01618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.