Individual provider Active NPI

Samantha Marie Bunge, AU.D.

  • Audiologist
  • Middletown, OH
National Provider Identifier
1548643190
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A.01961 Issued in OH
Practice address
1055 Summitt Dr
Middletown, OH 45042-3464
Phone
(513) 475-8400
NPI assigned
Jul 1, 2015
Last updated
Oct 22, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X A.01961 OH Primary

Addresses

Primary practice location

1055 Summitt Dr
Middletown, OH 45042-3464

Mailing address

PO Box 636256 Central Enrollment
Cincinnati, OH 45263-6256
Phone (513) 585-5507

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150807014065 NC Practitioner - Qualified Audiologist 4587978283 Reassigns benefits to 1 organization
I20181113002638 OH Practitioner - Qualified Audiologist 4587978283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Cincinnati College of Medicine and Surgery, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2123 Auburn Ave
Cincinnati, OH 45219-2906

3188 Bellevue Ave
Cincinnati, OH 45219-2369
Phone (513) 584-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A.01961OHMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland County Hospital System Inc Multi-Specialty CurrentSince Jun 8, 2015 Accepting new patients
University of Cincinnati Physicians Company, LLC Multi-Specialty CurrentSince Oct 15, 2018 Accepting new patients
Cumberland County Hospital System Inc Multi-Specialty Current Accepting new patients
Cumberland County Hospital System Inc Multi-Specialty CurrentSince Jun 8, 2015 Accepting new patients

Locations

1565 Purdue Dr
Ste 301
Fayetteville, NC 28303
Phone (910) 483-8586

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523

3113 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 475-8033

3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281

1055 Summit Dr
Middletown, OH 45042
Phone (513) 420-4678

Interoperability endpoints

  • Direct secure messaging: sbunge250321@direct.uchealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1548643190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636256 CENTRAL ENROLLMENT",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636256",
            "telephone_number": "513-585-5507",
            "fax_number": "513-585-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 SUMMITT DR",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450423464",
            "telephone_number": "513-475-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNGE",
        "first_name": "SAMANTHA",
        "middle_name": "MARIE",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-01",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A.01961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; 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.