Individual provider Active NPI

Adrian F. Hackett, AU.D.

  • Audiologist
  • Dearborn, MI
National Provider Identifier
1629761630
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1601001115 Issued in MI
Practice address
2454 Monroe St Ste a
Dearborn, MI 48124-3038
Phone
(313) 562-4100
NPI assigned
May 26, 2023
Last updated
May 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1601001115 MI Primary

Addresses

Primary practice location

2454 Monroe St Ste a
Dearborn, MI 48124-3038

Mailing address

2454 Monroe St Ste a
Dearborn, MI 48124-3038
Phone (162) 976-1630

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230726002549 MI Practitioner - Qualified Audiologist 0547621369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Wayne State University School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Danny Kewson M.D. P.CGroup PAC ID 9436139425, 12 clinicians

Practice addresses (Care Compare)

2454 Monroe St
Suite a
Dearborn, MI 48124-3038
Phone (313) 562-4100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1601001115MIMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Danny Kewson M.D. P.C CurrentSince Jun 25, 2023 Accepting new patients
Danny Kewson M.D. P.C Audiologist PastSince May 28, 2023 Accepting new patients

Locations

6850 N Haggerty Rd
Canton, MI 48187
Phone (734) 386-8000

2454 Monroe St
Dearborn, MI 48124

2454 Monroe St
Ste A
Dearborn, MI 48124
Phone (313) 562-4100

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": "1685059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1629761630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2454 MONROE ST STE A",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243038",
            "telephone_number": "162-976-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2454 MONROE ST STE A",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243038",
            "telephone_number": "313-562-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKETT",
        "first_name": "ADRIAN",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601001115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.