Individual provider Active NPI

Lesley Segal, AUD

  • Audiologist
  • West Tisbury, MA
National Provider Identifier
1659571875
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
620 Issued in MA
Practice address
20 Indian Hill Road
West Tisbury, MA 02575
Phone
(508) 696-4600
Fax
(508) 696-3017
NPI assigned
Jul 25, 2007
Last updated
Mar 17, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 620 MA Primary

Addresses

Primary practice location

20 Indian Hill Road
West Tisbury, MA 02575

Mailing address

PO Box 2095
Vineyard Haven, MA 02568-0915
Phone (508) 696-4600

Other names 1

  • Vineyard Audiology Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100316000580 MA Practitioner - Qualified Audiologist 5496880486 Reassigns benefits to 1 organization
Practice locations: Vineyard Haven, MA

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

65 Cedar St
Hyannis, MA 02601-3009
Phone (508) 790-0611

Merit-based Incentive Payment System (MIPS)

Final score
76.23 of 100Reported as group
Quality
56.78
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
620MAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Nov 1, 2020 Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Nov 1, 2020 Accepting new patients

Locations

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

65 Cedar St
Hyannis, MA 02601
Phone (508) 790-0611

Organizations & group practices 3

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": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489708800000",
    "number": "1659571875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2095",
            "city": "VINEYARD HAVEN",
            "state": "MA",
            "postal_code": "025680915",
            "telephone_number": "508-696-4600",
            "fax_number": "508-696-3017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 INDIAN HILL ROAD",
            "city": "WEST TISBURY",
            "state": "MA",
            "postal_code": "02575",
            "telephone_number": "508-696-4600",
            "fax_number": "508-696-3017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGAL",
        "first_name": "LESLEY",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2017-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MA",
            "license": "620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VINEYARD",
            "last_name": "AUDIOLOGY",
            "credential": "CCC/A",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in West Tisbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; 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.