Individual provider Active NPI

Madalyn Shebek, AU.D.

  • Audiologist
  • Saint Louis, MO
National Provider Identifier
1619661246
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2023023400 Issued in MO
Practice address
615 S New Ballas Rd Ste 385a
Saint Louis, MO 63141-8221
Phone
(314) 251-5850
NPI assigned
Jun 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 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 2023023400 MO Primary

Addresses

Primary practice location

615 S New Ballas Rd Ste 385a
Saint Louis, MO 63141-8221

Mailing address

621 S New Ballas Rd Ste 385a
Saint Louis, MO 63141-8214
Phone (314) 251-5850

Other practice location 1

10004 Kennerly Rd Ste 205A
Saint Louis, MO 63128-5108
Phone (314) 525-4327

Other practice location 2

12499 University Ave Ste 200
Clive, IA 50325-8288
Phone (515) 418-9960

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240731003595 IA Practitioner - Qualified Audiologist 8224498068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Ear CenterGroup PAC ID 2264582493, 11 clinicians

Practice addresses (Care Compare)

12499 University Ave
Suite 200
Clive, IA 50325-8288
Phone (515) 418-9960

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Ear Center CurrentSince Jun 24, 2024 Accepting new patients
Iowa Ear Technology Audiologist PastSince Jun 24, 2024 Accepting new patients

Locations

12499 University Ave
Ste 200
Clive, IA 50325
Phone (515) 418-9960

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": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1619661246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD STE 385A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418214",
            "telephone_number": "314-251-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 S NEW BALLAS RD STE 385A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418221",
            "telephone_number": "314-251-5850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10004 Kennerly Rd Ste 205A",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631285108",
            "country_code": "US",
            "telephone_number": "314-525-4327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12499 University Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Clive",
            "state": "IA",
            "postal_code": "503258288",
            "country_code": "US",
            "telephone_number": "515-418-9960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEBEK",
        "first_name": "MADALYN",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-06",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MO",
            "license": "2023023400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.