Active NPI
Chiara Elizabeth Ponko, AUD
- Audiologist
- Glen Burnie, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 01666
- Practice address
- 802 Landmark Dr. Ste 119
Glen Burnie, MD 21061 - Phone
- (410) 760-8840
- Fax
- (410) 367-2464
- NPI assigned
- Jul 13, 2023
- Last updated
- Aug 13, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 01666 | MD | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | 2201001921 | VA | |
| Audiologist-Hearing Aid Fitter | 237600000X | 01666 | MD |
Addresses
Primary practice location
802 Landmark Dr. Ste 119
Glen Burnie, MD 21061
Mailing address
802 Landmark Dr
Ste 119
Glen Burnie, MD 21061
Phone (410) 760-8840
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, MD
Enrollment records 2
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
Practice addresses (Care Compare)
10285 Little Patuxent Pkwy
Suite 200
Columbia, MD 21044-3489
Phone (410) 760-8840
10710 Charter Dr
Suite 400
Columbia, MD 21044-3276
Phone (410) 997-7979
1300 York Rd
Suite 30D
Lutherville, MD 21093-6090
Phone (443) 275-1337
205 Ctr St
Suite 100
Mount Airy, MD 21771-5498
Phone (410) 760-8840
802 Landmark Dr
Suite 119
Glen Burnie, MD 21061-9121
Phone (410) 760-8840
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01666 | MD | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Johns Hopkins Regional Physicians LLC | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Johns Hopkins Regional Physicians LLC | Current | Accepting new patients |
Locations
1630 Main St
Ste 217
Chester, MD 21619
Phone (240) 274-1377
10710 Charter Dr
Ste 400
Columbia, MD 21044
Phone (410) 997-7979
802 Landmark Dr
Ste 119
Glen Burnie, MD 21061
Phone 4107608840203
1300 York Rd
Ste 30D
Lutherville Timonium, MD 21093
Phone (443) 275-1337
205 Center St
Ste 100
Mount Airy, MD 21771
950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065
19455 Deerfield Ave
Ste 207
Leesburg, VA 20176
Phone (571) 399-5132
8644 Sudley Rd
#220
Manassas, VA 20110
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.
-
dba Cardiovascular Specialists of Central Maryland
- Cardiovascular Disease Physician
- Baltimore, MD
- NPI 1609195320
-
- Internal Medicine Physician
- Arlington, VA
- NPI 1013042480
-
dba JHRP - 10285 Little Patuxent Pkwy Ste 200 - Provider Type: 20
- Internal Medicine Physician
- Columbia, MD
- NPI 1871454934
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723507200000",
"number": "1720767213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "802 LANDMARK DR",
"address_2": "STE 119",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "21061",
"telephone_number": "410-760-8840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 LANDMARK DR. STE 119",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "21061",
"telephone_number": "410-760-8840",
"fax_number": "410-367-2464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PONKO",
"first_name": "CHIARA",
"middle_name": "ELIZABETH",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-13",
"last_updated": "2024-08-13",
"certification_date": "2024-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MD",
"license": "01666",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "VA",
"license": "2201001921",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "MD",
"license": "01666",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.