Individual provider Active NPI

Elizabeth Kudelka, AU.D.

  • Audiologist
  • Fort Lauderdale, FL
National Provider Identifier
1689547358
Registry record updated Sep 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY2963 Issued in FL
Practice address
2307 W Broward Blvd Ste 201
Fort Lauderdale, FL 33312-1420
Phone
(954) 466-7303
NPI assigned
Sep 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY2963 FL Primary

Addresses

Primary practice location

2307 W Broward Blvd Ste 201
Fort Lauderdale, FL 33312-1420

Mailing address

1804 SW 53Rd Ave
Plantation, FL 33317-6040

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251203001217 FL Practitioner - Qualified Audiologist 0941793491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Nova Southeastern College of Osteo Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Florida Surgical Specialists LLCGroup PAC ID 5799881660, 91 clinicians

Practice addresses (Care Compare)

2307 W Broward Blvd
Suite 201
Fort Lauderdale, FL 33312-1420
Phone (954) 368-3348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AY2963FLMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Surgical Specialists LLC CurrentSince Sep 29, 2025 Accepting new patients

Locations

2307 W Broward Blvd
Ste 201
Ft Lauderdale, FL 33312
Phone (954) 368-3348

3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1758931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758931200000",
    "number": "1689547358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 SW 53RD AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333176040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 W BROWARD BLVD STE 201",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333121420",
            "telephone_number": "954-466-7303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUDELKA",
        "first_name": "ELIZABETH",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-27",
        "last_updated": "2025-09-27",
        "certification_date": "2025-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY2963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2025; 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.