Individual provider Active NPI

Trisha A. Bents Muth, AU. D.

  • Audiologist
  • Bel Air, MD
National Provider Identifier
1750620969
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
01254 Issued in MD
Practice address
424 Barnes St
Suite 102
Bel Air, MD 21014-3958
Phone
(410) 838-4327
Fax
(410) 510-1814
NPI assigned
Feb 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 01254 MD Primary

Addresses

Primary practice location

424 Barnes St
Suite 102
Bel Air, MD 21014-3958

Mailing address

424 Barnes St
Suite 102
Bel Air, MD 21014-3958
Phone (410) 838-4327

Other identifiers 1

IdentifierTypeStateIssuer
335906900MedicaidMD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130322000294 MD Practitioner - Qualified Audiologist 1153566179 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Area AudiologyGroup PAC ID 8729390091, 2 clinicians

Practice addresses (Care Compare)

424 Barnes St
Suite 102
Bel Air, MD 21014-3960
Phone (410) 838-4327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01254MDMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Comptroller of Maryland Central Payroll Bureau Audiologist CurrentSince May 15, 2014 Accepting new patients
Bay Area Audiology Audiologist CurrentSince May 7, 2015 Accepting new patients
State of Maryland Central Payroll Bureau CurrentSince May 15, 2014 Accepting new patients

Locations

424 Barnes St
Ste 101
Bel Air, MD 21014
Phone (410) 459-8189

424 Barnes St
Ste 102
Bel Air, MD 21014
Phone (410) 459-8189

1 Olympic Pl
Ste 200
Towson, MD 21204
Phone (410) 704-3095

8000 York Rd
Towson, MD 21252
Phone (410) 704-2000

Organizations & group practices 3

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": "1360195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441152000000",
    "number": "1750620969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 BARNES ST",
            "address_2": "SUITE 102",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143958",
            "telephone_number": "410-838-4327",
            "fax_number": "410-510-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 BARNES ST",
            "address_2": "SUITE 102",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143958",
            "telephone_number": "410-838-4327",
            "fax_number": "410-510-1814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTH",
        "first_name": "TRISHA",
        "middle_name": "A. BENTS",
        "credential": "AU. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-07",
        "last_updated": "2015-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "01254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "335906900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; 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.