Individual provider Active NPI

Michael Peter Gehan, M.S., CCC-A

  • Audiologist
  • Plano, TX
National Provider Identifier
1609885599
Registry record updated May 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
51347 Issued in TX
Practice address
5928 W Parker Rd
1000
Plano, TX 75093-6433
Phone
(972) 608-0416
Fax
(972) 608-0430
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 51347 TX Primary

Addresses

Primary practice location

5928 W Parker Rd
1000
Plano, TX 75093-6433

Mailing address

5960 W Parker Rd
278-196
Plano, TX 75093-7767
Phone (972) 608-0416

Other identifiers 3

IdentifierTypeStateIssuer
144706202MedicaidTX
528498OtherTXBLUE CROSS BLUE SHILED
7570709OtherTXAETNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100105000231 TX Practitioner - Qualified Audiologist 2264451798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5928 W Parker Rd
Suite 1000
Plano, TX 75093-6435
Phone (972) 608-0416

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Achieve Hearing & Rehabilitation, Inc CurrentSince Jul 21, 2009 Accepting new patients
Achieve Hearing & Rehabilitation, Inc. Audiologist CurrentSince Sep 17, 2009 Accepting new patients

Locations

5928 W Parker Rd
Ste 1000
Plano, TX 75093
Phone (972) 608-0416

5960 W Parker Rd
#278196
Plano, TX 75093

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336694400000",
    "number": "1609885599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5960 W PARKER RD",
            "address_2": "278-196",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937767",
            "telephone_number": "972-608-0416",
            "fax_number": "972-608-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5928 W PARKER RD",
            "address_2": "1000",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750936433",
            "telephone_number": "972-608-0416",
            "fax_number": "972-608-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEHAN",
        "first_name": "MICHAEL",
        "middle_name": "PETER",
        "credential": "M.S., CCC-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2012-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "51347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144706202",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHILED",
            "identifier": "528498",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7570709",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; 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.