Individual provider Active NPI

Samantha Chung, AU.D.

  • Audiologist
  • Framingham, MA
National Provider Identifier
1669166948
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
100 Crossing Blvd Ste 300
Framingham, MA 01702-5555
Phone
(888) 964-6681
NPI assigned
Jun 8, 2023
Last updated
Feb 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 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 NU Primary

Addresses

Primary practice location

100 Crossing Blvd Ste 300
Framingham, MA 01702-5555

Mailing address

93 Oxbow Dr
Willimantic, CT 06226-3629
Phone (860) 994-7062

Other names 1

  • Samantha Richards Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI, CT3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230718002383 MA Practitioner - Qualified Audiologist 6709246069 Reassigns benefits to 1 organization
I20240104002557 RI Practitioner - Qualified Audiologist 6709246069 Reassigns benefits to 1 organization
I20241021002622 CT Practitioner - Qualified Audiologist 6709246069 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
Mobile Audiology Associates PCGroup PAC ID 3678465283, 26 clinicians

Practice addresses (Care Compare)

100 Crossing Blvd
Suite 300
Framingham, MA 01702-5555
Phone (617) 964-6681

101 Centerpoint Dr
Suite 215
Middletown, CT 06457-7568
Phone (888) 964-6681

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Audiology Associates, P.C. Audiologist CurrentSince Aug 16, 2024 Accepting new patients
Mobile Audiology Associates, P.C. Audiologist CurrentSince Jul 17, 2023 Accepting new patients
Mobile Audiology Associates, P.C. CurrentSince Dec 1, 2023 Accepting new patients
Mobile Audiology Associates, PC Audiologist Past Accepting new patients

Locations

101 Centerpoint Dr
Ste 215
Middletown, CT 06457
Phone (203) 696-3550

100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486

333 Green End Ave
Middletown, RI 02842
Phone (401) 468-8333

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": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1669166948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 OXBOW DR",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062263629",
            "telephone_number": "860-994-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CROSSING BLVD STE 300",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017025555",
            "telephone_number": "888-964-6681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "SAMANTHA",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-08",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "RICHARDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Framingham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.