Individual provider Active NPI

Mia Alexandra Canale, AUD

  • Audiologist
  • Rochester, NY
National Provider Identifier
1750892196
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
002767-1 Issued in NY
Practice address
370 E Ridge Rd Ste 400
Rochester, NY 14621-1239
Phone
(585) 442-4200
NPI assigned
Oct 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 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 002767-1 NY Primary

Addresses

Primary practice location

370 E Ridge Rd Ste 400
Rochester, NY 14621-1239

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Other practice location 1

Accura Audiology
6645 Main St, Ste B
Williamsville, NY 14221
Phone (716) 633-0721

Other practice location 2

179 County Route 64
Mexico, NY 13114-4219
Phone (315) 963-4456

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171211001846 NY Practitioner - Qualified Audiologist 5092073536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western New York Medical Practice PCGroup PAC ID 3870767791, 528 clinicians

Practice addresses (Care Compare)

360 Linden Oaks
Suite 300
Rochester, NY 14625-2814
Phone (585) 383-8830

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002767-1NYMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. CurrentSince Nov 4, 2024 Accepting new patients
Western New York Medical Practice P.C CurrentSince Nov 4, 2024 Accepting new patients

Locations

370 E Ridge Rd
Ste 400
Rochester, NY 14621
Phone (585) 922-0600

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

360 Linden Oaks
Ste 300
Rochester, NY 14625
Phone (585) 383-8830

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1750892196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 E RIDGE RD STE 400",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146211239",
            "telephone_number": "585-442-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Accura Audiology",
            "address_2": "6645 Main St, Ste B",
            "address_purpose": "LOCATION",
            "city": "Williamsville",
            "state": "NY",
            "postal_code": "14221",
            "country_code": "US",
            "telephone_number": "716-633-0721",
            "fax_number": "716-633-0721",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "179 County Route 64",
            "address_purpose": "LOCATION",
            "city": "Mexico",
            "state": "NY",
            "postal_code": "131144219",
            "country_code": "US",
            "telephone_number": "315-963-4456",
            "fax_number": "315-963-4464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANALE",
        "first_name": "MIA",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-12",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "002767-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.