Individual provider Active NPI

Shrutee Bhatt Das, AUD

  • Audiologist
  • Irvine, CA
National Provider Identifier
1487071312
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AU2941 Issued in CA
Practice address
62 Corporate Park Ste 112
Irvine, CA 92606-3138
Phone
(949) 250-9695
Fax
(949) 250-9698
NPI assigned
Mar 28, 2014
Last updated
Aug 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AU2941 CA Primary

Addresses

Primary practice location

62 Corporate Park Ste 112
Irvine, CA 92606-3138

Mailing address

62 Corporate Park Ste 112
Irvine, CA 92606-3138
Phone (949) 250-9695

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150430002167 CA Practitioner - Qualified Audiologist 7012236722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

62 Corporate Park
Suite 112
Irvine, CA 92606-3138
Phone (949) 250-9695

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AU2941CAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Hearing Amplification Services Inc Audiologist CurrentSince Aug 14, 2023 Accepting new patients
Advanced Hearing Services Inc. Audiologist PastSince Aug 14, 2023 Accepting new patients

Locations

62 Corporate Park
Ste 112
Irvine, CA 92606
Phone (949) 250-9695

Interoperability endpoints

  • Direct secure messaging: shrutee.das.p19@direct.monarchhealthcare.nextgenshare.com
  • Direct secure messaging: shrutee.das.p21@direct.monarchhealthcare.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1487071312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 CORPORATE PARK STE 112",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926063138",
            "telephone_number": "949-250-9695",
            "fax_number": "949-250-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 CORPORATE PARK STE 112",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926063138",
            "telephone_number": "949-250-9695",
            "fax_number": "949-250-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAS",
        "first_name": "SHRUTEE",
        "middle_name": "BHATT",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-28",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU2941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.