Individual provider Active NPI

Alexandra Papanicolaou, AU.D.

  • Audiologist
  • Shady Side, MD
National Provider Identifier
1609697309
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
01693 Issued in MD
Practice address
6318 Shady Side Rd
Shady Side, MD 20764-3101
Phone
(240) 593-2578
NPI assigned
Oct 24, 2024
Last updated
Oct 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 01693 MD Primary

Addresses

Primary practice location

6318 Shady Side Rd
Shady Side, MD 20764-3101

Mailing address

6318 Shady Side Rd
Shady Side, MD 20764-3101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241122001573 MD Practitioner - Qualified Audiologist 6305371659 Reassigns benefits to 1 organization
I20241122001953 DC Practitioner - Qualified Audiologist 6305371659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 PCGroup PAC ID 3678465283, 26 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Audiology Associates, P.C. Audiologist CurrentSince Nov 18, 2024 Accepting new patients
Mobile Audiology Associates, PC Audiologist CurrentSince Nov 18, 2024 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

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

NPI Registry JSON

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

{
    "created_epoch": "1729728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1609697309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6318 SHADY SIDE RD",
            "city": "SHADY SIDE",
            "state": "MD",
            "postal_code": "207643101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6318 SHADY SIDE RD",
            "city": "SHADY SIDE",
            "state": "MD",
            "postal_code": "207643101",
            "telephone_number": "240-593-2578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPANICOLAOU",
        "first_name": "ALEXANDRA",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-24",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "01693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shady Side, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.