Active NPI
Scott Sumrall, AU.D
- Audiologist
- Frankfort, IL
National Provider Identifier
1720515240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 147.001812
- Practice address
- 21124 Washington Pkwy
Frankfort, IL 60423-3112 - Phone
- (815) 239-0673
- Fax
- (775) 336-0213
- NPI assigned
- May 15, 2017
- Last updated
- Feb 17, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 187.001812 | IL | |
| Audiologist | 231H00000X | 147.001812 | IL | Primary |
Addresses
Primary practice location
21124 Washington Pkwy
Frankfort, IL 60423-3112
Mailing address
21124 Washington Pkwy
Frankfort, IL 60423-3112
Phone (152) 390-6738
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- University of Utah School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
21124 Washington Pkwy
Frankfort, IL 60423-3112
Phone (815) 239-0673
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147.001812 | IL | MD | Audiologist |
| 187.001812 | IL | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sparks Hearing and Balance | Current | Accepting new patients | |
| Hearing and Balance Specialists of Illinois LLC. | Audiologist | Current | Accepting new patients |
Locations
21124 Washington Pkwy
Frankfort, IL 60423
Phone (708) 300-6333
Organizations & group practices 2
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.
-
- Audiologist
- Frankfort, IL
- NPI 1982295804
-
- Hearing and Speech Clinic/Center
- Sparks, NV
- NPI 1174044283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739750400000",
"number": "1720515240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21124 WASHINGTON PKWY",
"city": "FRANKFORT",
"state": "IL",
"postal_code": "604233112",
"telephone_number": "152-390-6738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21124 WASHINGTON PKWY",
"city": "FRANKFORT",
"state": "IL",
"postal_code": "604233112",
"telephone_number": "815-239-0673",
"fax_number": "775-336-0213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMRALL",
"first_name": "SCOTT",
"credential": "AU.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-15",
"last_updated": "2025-02-17",
"certification_date": "2025-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "IL",
"license": "187.001812",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IL",
"license": "147.001812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frankfort, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.