Individual provider Active NPI

Laura Lea Fragomeni, AU.D.

  • Audiologist
  • Indianapolis, IN
National Provider Identifier
1750531950
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
23002438A Issued in IN
Practice address
8202 Clearvista Pkwy Ste 8B
Indianapolis, IN 46256-1456
Phone
(317) 436-8306
Fax
(317) 436-8462
NPI assigned
Sep 24, 2008
Last updated
Sep 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 23002438A IN Primary

Addresses

Primary practice location

8202 Clearvista Pkwy Ste 8B
Indianapolis, IN 46256-1456

Mailing address

8202 Clearvista Pkwy Ste 8B
Indianapolis, IN 46256-1456
Phone (173) 436-8306

Other identifiers 1

IdentifierTypeStateIssuer
23002438AOtherININDIANA HEALTH PROFESSIONS BUREAU

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081023000435 IN Practitioner - Qualified Audiologist 5092873810 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Ball State UniversityGroup PAC ID 9830577220, 10 clinicians
Audiology Solutions PCGroup PAC ID 9234662982, 2 clinicians
Onhealthcare LLCGroup PAC ID 8527221480, 29 clinicians

Practice addresses (Care Compare)

1613 W Riverside Ave
Interprofessional Community Clinics
Muncie, IN 47303-3547
Phone (765) 285-4422

8202 Clearvista Pkwy
Suite 8B
Indianapolis, IN 46256-1456
Phone (317) 436-8306

8425 Woodfield Crossing Blvd
Suite 100
Indianapolis, IN 46240-7316
Phone (248) 528-2116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ball State University Audiologist CurrentSince Jan 25, 2023 Accepting new patients
Onhealthcare LLC CurrentSince Jun 1, 2022 Accepting new patients
Onhealthcare, LLC Current Accepting new patients
Onhealthcare, LLC Audiologist CurrentSince Jun 1, 2022 Accepting new patients
Audiology Solutions, PC Audiologist CurrentSince Jan 2, 2024 Accepting new patients
Audiology Solutions, PC Audiologist Past Accepting new patients
Onhealthcare LLC Past Accepting new patients

Locations

8202 Clearvista Pkwy
Ste 8B
Indianapolis, IN 46256
Phone (317) 436-8306

8425 Woodfield Crossing Blvd
Ste 100
Indianapolis, IN 46240
Phone (317) 554-0555

Interoperability endpoints

  • Direct secure messaging: lfragomeni303850@ecommunitydirect.com

Organizations & group practices 7

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": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1750531950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8202 CLEARVISTA PKWY STE 8B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462561456",
            "telephone_number": "173-436-8306",
            "fax_number": "317-436-8462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8202 CLEARVISTA PKWY STE 8B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462561456",
            "telephone_number": "317-436-8306",
            "fax_number": "317-436-8462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAGOMENI",
        "first_name": "LAURA",
        "middle_name": "LEA",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-24",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IN",
            "license": "23002438A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA HEALTH PROFESSIONS BUREAU",
            "identifier": "23002438A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.

Verify at the official NPI Registry.