Alexandra Papanicolaou, AU.D.
Individual provider Active NPI Audiologist · Shady Side, MD
NPI 1609697309 · NPPES record last updated Oct 24, 2024
Key facts
- NPI
- 1609697309
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- 01693 (MD)
- Practice address
- 6318 Shady Side Rd
Shady Side, MD 20764-3101 - Phone
- (240) 593-2578
- NPI assigned
- Oct 24, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Qualified Audiologist
- Education
- University of Maryland School of Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mobile Audiology Associates PC
Practice addresses (Care Compare)
6700 Alexander Bell Dr
Columbia, MD 21046-2122
Phone (888) 964-6681
7525 Carroll Ave
Takoma Park, MD 20912-5715
Phone (888) 964-6681
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD, DC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241122001573 | MD | Practitioner - Qualified Audiologist | 6305371659 | Reassigns benefits to 1 organization |
| I20241122001953 | DC | Practitioner - Qualified Audiologist | 6305371659 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Audiology Associates, P.C. | Audiologist | Current |
Accepting new patients |
| Mobile Audiology Associates, PC | Audiologist | Current |
Accepting new patients |
Locations
100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486
6700 Alexander Bell Dr
Ste 200
Columbia, MD 21046
Phone (201) 581-3411
7525 Carroll Ave
Takoma Park, MD 20912
Phone (301) 270-4200
8111 Tis Well Dr
Alexandria, VA 22306
Phone (703) 348-7571
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 01693 | MD | Yes |
Addresses
Primary practice location
6318 Shady Side Rd
Shady Side, MD 20764-3101
Mailing address
6318 Shady Side Rd
Shady Side, MD 20764-3101
Other providers in Shady Side, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.