Individual provider Active NPI

Elizabeth F Kovac, AU. D.

  • Audiologist
  • Burlington, MA
National Provider Identifier
1659721330
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
SP-1095-AU Issued in MA
Practice address
41 Mall Road
Lahey Hospital and Medical Center
Burlington, MA 01805
Phone
(781) 744-8452
Fax
(781) 744-2879
NPI assigned
Jun 14, 2016
Last updated
Apr 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X SP-1095-AU MA Primary
Audiologist 231H00000X 17.000711 CT

Addresses

Primary practice location

41 Mall Road
Lahey Hospital and Medical Center
Burlington, MA 01805

Mailing address

41 Mall Road
Lahey Hospital and Medical Center
Burlington, MA 01805-0001
Phone (781) 744-8452

Other practice location 1

112 Quarry Rd Ste 320
Trumbull, CT 06611-4877
Phone (203) 268-0228

Other identifiers 1

IdentifierTypeStateIssuer
110117182AMedicaidMA

Other names 1

  • Elizabeth A Flynn Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160913002285 MA Practitioner - Qualified Audiologist 4183910482 Reassigns benefits to 2 organizations
I20230509001715 CT Practitioner - Qualified Audiologist 4183910482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians

Practice addresses (Care Compare)

112 Quarry Rd
Suite 320
Trumbull, CT 06611-4877
Phone (203) 268-0228

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
711CTMDBehavioral Analyst
17.000711CTMDAudiologist
SP-1095-AUMAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. CurrentSince Jun 19, 2023 Accepting new patients
Lahey Clinic, Inc CurrentSince May 4, 2018 Accepting new patients
Lahey Clinic, Inc. CurrentSince May 4, 2018 Accepting new patients
Primed, LLC PastSince Jun 19, 2023 Accepting new patients

Locations

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

112 Quarry Rd
Ste 320
Trumbull, CT 06611
Phone (203) 268-0228

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

260 Cochituate Rd
Framingham, MA 01701
Phone (508) 532-7510

Organizations & group practices 4

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": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1659721330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 MALL ROAD",
            "address_2": "LAHEY HOSPITAL AND MEDICAL CENTER",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018050001",
            "telephone_number": "781-744-8452",
            "fax_number": "781-744-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MALL ROAD",
            "address_2": "LAHEY HOSPITAL AND MEDICAL CENTER",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "01805",
            "telephone_number": "781-744-8452",
            "fax_number": "781-744-2879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 Quarry Rd Ste 320",
            "address_purpose": "LOCATION",
            "city": "Trumbull",
            "state": "CT",
            "postal_code": "066114877",
            "country_code": "US",
            "telephone_number": "203-268-0228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOVAC",
        "first_name": "ELIZABETH",
        "middle_name": "F",
        "credential": "AU. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-14",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MA",
            "license": "SP-1095-AU",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CT",
            "license": "17.000711",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110117182A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "FLYNN",
            "middle_name": "A",
            "credential": "AU. D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burlington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.