Individual provider Active NPI

Kaitlin Margaret Riall

  • Audiologist
  • New York, NY
National Provider Identifier
1558023408
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
003067-01 Issued in NY
Practice address
121 E 84TH St
New York, NY 10028-0902
Phone
(212) 792-3900
NPI assigned
Oct 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 003067-01 NY Primary

Addresses

Primary practice location

121 E 84TH St
New York, NY 10028-0902

Mailing address

15012 14TH Ave Ste 200
Whitestone, NY 11357-1800

Other practice location 1

15012 14th Ave Ste 200
Whitestone, NY 11357-1800
Phone (212) 792-3900

Other practice location 2

3016 30th Dr Fl 4
Astoria, NY 11102-1874
Phone (212) 792-3900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220822002497 NY Practitioner - Qualified Audiologist 1456734565 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
ENT and Allergy Associates LLPGroup PAC ID 0749193662, 431 clinicians

Practice addresses (Care Compare)

1086 N Broadway
Suite 220
Yonkers, NY 10701-1112
Phone (914) 963-8588

1500 Route 112
BLDG 4
Port Jefferson Station, NY 11776-8055
Phone (631) 928-0188

2929 Expressway Dr N
Islandia, NY 11749-5306
Phone (631) 665-2430

Merit-based Incentive Payment System (MIPS)

Final score
94.45 of 100Reported as group
Quality
89.91
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003067-01NYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
ENT and Allergy Associates LLP CurrentSince Aug 8, 2022 Accepting new patients
Queens Audiology, PLLC Audiologist CurrentSince Oct 10, 2021 Accepting new patients
Ear, Nose & Throat Associates of New York,P.C. Past Accepting new patients
Queens Audiology, PLLC Audiologist PastSince Oct 10, 2021 Accepting new patients
Arnot Medical Services PLLC Past Accepting new patients

Locations

3119 Newtown Ave
Ste 201
Astoria, NY 11102
Phone (718) 631-8899

3526 Francis Lewis Blvd
Flushing, NY 11358
Phone (718) 353-1571

2929 Express Dr N
Ste 225
Islandia, NY 11749
Phone (631) 665-2430

2929 Express Dr N
Islandia, NY 11749
Phone (631) 665-2430

121 E 84th St
New York, NY 10028
Phone (212) 792-3900

660 White Plains Rd
Fl 4
Tarrytown, NY 10591
Phone (914) 984-2546

15012 14th Ave
Ste 200
Whitestone, NY 11357
Phone (718) 279-4327

1086 N Broadway
Ste 220
Yonkers, NY 10701
Phone (914) 279-9500

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1558023408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15012 14TH AVE STE 200",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113571800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E 84TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280902",
            "telephone_number": "212-792-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15012 14th Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Whitestone",
            "state": "NY",
            "postal_code": "113571800",
            "country_code": "US",
            "telephone_number": "212-792-3900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3016 30th Dr Fl 4",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "NY",
            "postal_code": "111021874",
            "country_code": "US",
            "telephone_number": "212-792-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIALL",
        "first_name": "KAITLIN",
        "middle_name": "MARGARET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "003067-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.