Individual provider Active NPI

Meredith Marie Nowak, AU.D.

  • Audiologist-Hearing Aid Fitter
  • Pikesville, MD
National Provider Identifier
1679881957
Registry record updated Nov 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
01179 Issued in MD
Practice address
4000 Old Court Rd
Ste 202
Pikesville, MD 21208-2800
Phone
(410) 580-1222
Fax
(410) 580-9114
NPI assigned
Sep 20, 2010
Last updated
Nov 30, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 01179 MD
Audiologist-Hearing Aid Fitter 237600000X 01179 MD Primary

Addresses

Primary practice location

4000 Old Court Rd
Ste 202
Pikesville, MD 21208-2800

Mailing address

4000 Old Court Rd Ste 202
Pikesville, MD 21208-2894
Phone (410) 520-1222

Other identifiers 1

IdentifierTypeStateIssuer
13803218OtherMDCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20121207000498 MD Practitioner - Qualified Audiologist 3870745375 Reassigns benefits to 1 organization
I20200825003085 DC Practitioner - Qualified Audiologist 3870745375

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Audiology Distribution LLCGroup PAC ID 0840459103, 9 clinicians

Practice addresses (Care Compare)

10514 Racetrack Rd
Suite F
Berlin, MD 21811-3241
Phone (410) 641-3134

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01179MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Distribution, LLC Audiologist-Hearing Aid Fitter CurrentSince Nov 27, 2024 Accepting new patients

Locations

11400 N Jog Rd
Palm Beach Gardens, FL 33418
Phone 5614788770 ext. 181

10455 Riverside Dr
West Palm Beach, FL 33410
Phone (800) 323-3277

10514 Racetrack Rd
Ste F
Berlin, MD 21811
Phone (410) 641-3134

8818 Centre Park Dr
Columbia, MD 21045
Phone (301) 265-5617

8818 Centre Park Dr
Ste 107
Columbia, MD 21045
Phone (410) 740-4885

3402 Olandwood Ct
Olney, MD 20832
Phone (301) 260-0966

1496 Still Meadow Blvd
Ste B
Salisbury, MD 21804
Phone (410) 219-5088

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, 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": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512000000000",
    "number": "1679881957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 OLD COURT RD STE 202",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212082894",
            "telephone_number": "410-520-1222",
            "fax_number": "410-520-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 OLD COURT RD",
            "address_2": "STE 202",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212082800",
            "telephone_number": "410-580-1222",
            "fax_number": "410-580-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWAK",
        "first_name": "MEREDITH",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-20",
        "last_updated": "2017-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "01179",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MD",
            "license": "01179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13803218",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.