Gwen M Kandula, AU.D, MBA

Primary specialty

AudiologistTaxonomy code 231H00000X

License

434 156 Issued in WI

Practice address

1233 N Mayfair Rd
Ste 120
Milwaukee, WI 53226-3255

Phone

(414) 771-6780

Fax

(414) 238-2424

NPI assigned

Feb 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Gwen M Van Rooy Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration

State licenses

Practice roles

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.

• Affiliated ENT, SC

  • Medical Specialty Clinic/Center
  • Milwaukee, WI
  • NPI 1265544498
  NPD (past)

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

{
    "created_epoch": "1140912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1518933969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14150 CHESTERWOOD DR",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530052381",
            "telephone_number": "414-771-6780",
            "fax_number": "414-238-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 N MAYFAIR RD",
            "address_2": "STE 120",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263255",
            "telephone_number": "414-771-6780",
            "fax_number": "414-238-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANDULA",
        "first_name": "GWEN",
        "middle_name": "M",
        "credential": "AU.D, MBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WI",
            "license": "434 156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41146700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GWEN",
            "last_name": "VAN ROOY",
            "middle_name": "M",
            "credential": "AU.D, MBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hema Kamthamneni, M.D.
• Amanda Kanack, PTA
• Priyanka Kancherla, RPH
• Prem Kandiah, MD
• Cheryl Kandler-Krutina, RN
• Madan N Kandula, M.D.
• Andrew W Kane, PH.D.
• Kristin Kane
• Richard S Kane, MD
• Crystal H Kang, MD

• Audiologist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Audiologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.