Individual provider Active NPI

Richard M Hogan II, MS, CCC-A

  • Audiologist
  • Creve Coeur, MO
National Provider Identifier
1578733119
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2001032148 Issued in MO
Practice address
11630 Studt Ave
Ste 210
Creve Coeur, MO 63141-7394
Phone
(314) 532-0682
Fax
(314) 455-3777
NPI assigned
Mar 11, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2001032148 MO Primary
Audiologist-Hearing Aid Fitter 237600000X 2001032148 MO

Addresses

Primary practice location

11630 Studt Ave
Ste 210
Creve Coeur, MO 63141-7394

Mailing address

11630 Studt Ave Ste 210
Saint Louis, MO 63141-7394
Phone (314) 532-0682

Other practice location 1

128 Chesterfield Commons Rd E
Chesterfield, MO 63005-1440
Phone (314) 532-0682

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080718000320 MO Practitioner - Qualified Audiologist 2961575311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11630 Studt Ave
Suite 210
Creve Coeur, MO 63141-7394
Phone (314) 532-0682

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Plastic Surgery PC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1578733119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11630 STUDT AVE STE 210",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417394",
            "telephone_number": "314-532-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11630 STUDT AVE",
            "address_2": "STE 210",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417394",
            "telephone_number": "314-532-0682",
            "fax_number": "314-455-3777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "128 Chesterfield Commons Rd E",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MO",
            "postal_code": "630051440",
            "country_code": "US",
            "telephone_number": "314-532-0682",
            "fax_number": "314-455-3777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "RICHARD",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "MS, CCC-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-11",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MO",
            "license": "2001032148",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MO",
            "license": "2001032148",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.