Keith P Michaels, AUD

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

AU2428 Issued in CA

Practice address

6229 W 87TH St
Los Angeles, CA 90045-3901

Phone

(310) 677-1168

Fax

(310) 677-0203

NPI assigned

Feb 16, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

American Hearing and BalanceGroup PAC ID 9830288281, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• American Hearing and Balance Corp

  • Audiologist-Hearing Aid Fitter
  • Los Angeles, CA
  • NPI 1740324508
  Medicare reassignment Care Compare group NPD Authorized official
• Hearing and Balance Center Inc

  • Audiologist-Hearing Aid Fitter
  • Encino, CA
  • NPI 1124425855
  NPD

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481760000000",
    "number": "1720122450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6229 W 87TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453901",
            "telephone_number": "310-677-1168",
            "fax_number": "310-677-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6229 W 87TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453901",
            "telephone_number": "310-677-1168",
            "fax_number": "310-677-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAELS",
        "first_name": "KEITH",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2016-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "AU2428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUDIOLOGY LICENSE NUMBER",
            "identifier": "AU2428",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GAU001090",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AU0024280",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEARING AID DISPENSER NUM",
            "identifier": "HA7011",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ62880Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica W Michael, PA-C
• Nicole Michaeli, PH.D.
• Michael John Michaelides Jr.
• Nicole V Michaelis
• Brittney Michaels, BCBA
• Lauren Michaels
• Lazar Max Michaels, FNP
• Meredith Leigh Michaels, PSY.D.
• Morgan Michaels
• Julie Sue Michaelson

• Audiologist-Hearing Aid Fitter in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Audiologist-Hearing Aid Fitter in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; 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.