Active NPI
Michael Michelli, AU.D.
- Audiologist
- Wilmington, DE
National Provider Identifier
1649720251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- O2-0000118
- Practice address
- 3605 Silverside Rd
Wilmington, DE 19810-5101 - Phone
- (302) 478-4942
- Fax
- (302) 478-4169
- NPI assigned
- Oct 6, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | O2-0000118 | DE | Primary |
| Audiologist | 231H00000X | AT001141L | PA |
Addresses
Primary practice location
3605 Silverside Rd
Wilmington, DE 19810-5101
Mailing address
3605 Silverside Rd
Wilmington, DE 19810-5101
Phone (302) 478-4942
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| O2-0000118 | DE | MD | Audiologist |
| AT001141L | PA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brandywine Hearing Center | Audiologist | Current | Accepting new patients |
Locations
3605 Silverside Rd
Wilmington, DE 19810
Phone (302) 478-4942
Organizations & group practices 1
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.
-
- Audiologist
- Wilmington, DE
- NPI 1013631837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475712000000",
"number": "1649720251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3605 SILVERSIDE RD",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198105101",
"telephone_number": "302-478-4942",
"fax_number": "302-478-4169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3605 SILVERSIDE RD",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198105101",
"telephone_number": "302-478-4942",
"fax_number": "302-478-4169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHELLI",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-10-06",
"last_updated": "2016-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "DE",
"license": "O2-0000118",
"primary": true
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "PA",
"license": "AT001141L",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
- Melissa Michaels, PT, DPT
- Maria W. Michell, D.O.
- Theodore W. Michell, D.O.
- Michelle C. Johnson L.C.S.W.
- Laura Michelli
- Mid Atlantic Prosthetics and Orthotics North
- Mid Atlantic Surgical LLC
- Mid-Atlantic Dental Partners Delaware II Professional Associates
- Mid-Atlantic Dental Partners Delaware Professional Association
- Mid-Atlantic Pain Institute, P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.