Individual provider Active NPI

Madison Rose Knodell, AUD

  • Audiologist
  • Waldorf, MD
National Provider Identifier
1447007166
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
01670 Issued in MD
Practice address
12108 Old Line Ctr
Waldorf, MD 20602-2553
Phone
(301) 638-3440
Fax
(301) 638-3442
NPI assigned
May 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 01670 MD Primary

Addresses

Primary practice location

12108 Old Line Ctr
Waldorf, MD 20602-2553

Mailing address

12108 Old Line Ctr
Waldorf, MD 20602-2553
Phone (301) 638-3440

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240513000759 MD Practitioner - Qualified Audiologist 1052752722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2024
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)

12108 Old Line Ctr
Waldorf, MD 20602-2553
Phone (301) 638-3440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01670MDMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
A&a Hearing Group, LLC Audiologist CurrentSince Apr 29, 2024 Accepting new patients
A&a Hearing Group, LLC Audiologist Current Accepting new patients
A&a Hearing Group, LLC CurrentSince Apr 29, 2024 Accepting new patients
A&a Hearing Group, LLC Audiologist Past Accepting new patients

Locations

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

1813 York Rd
Ste B
Timonium, MD 21093
Phone (410) 321-7960

12108 Old Line Ctr
Waldorf, MD 20602
Phone (301) 638-3440

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1447007166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12108 OLD LINE CTR",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022553",
            "telephone_number": "301-638-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12108 OLD LINE CTR",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022553",
            "telephone_number": "301-638-3440",
            "fax_number": "301-638-3442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNODELL",
        "first_name": "MADISON",
        "middle_name": "ROSE",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "01670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.