Individual provider Active NPI

Melanie Katherine Croke, AU.D.

  • Audiologist
  • Park Ridge, IL
National Provider Identifier
1760250609
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147.001984 Issued in IL
Practice address
1875 Dempster St Ste 301
Park Ridge, IL 60068-1127
Phone
(847) 685-1000
NPI assigned
Dec 19, 2023
Last updated
Dec 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 147.001984 IL Primary

Addresses

Primary practice location

1875 Dempster St Ste 301
Park Ridge, IL 60068-1127

Mailing address

PO Box 695
Burlington, IL 60109-0695

Other practice location 1

1450 Busch Pkwy Ste 14
Buffalo Grove, IL 60089-4541
Phone (847) 465-1250

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240314000965 IL Practitioner - Qualified Audiologist 0345686259 Reassigns benefits to 2 organizations

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
Midwest ENT Alliance PLLCGroup PAC ID 5294276259, 97 clinicians

Practice addresses (Care Compare)

1450 Busch Pkwy
Suite 140
Buffalo Grove, IL 60089-4541
Phone (847) 685-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
147.001984ILMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest ENT Alliance PLLC CurrentSince Nov 16, 2024 Accepting new patients
Ear, Nose and Throat Center S.C. Audiologist CurrentSince Mar 1, 2024 Accepting new patients
Bastian Voice Institute, LLC PastSince Sep 22, 2003 Accepting new patients

Locations

1450 Busch Pkwy
Buffalo Grove, IL 60089
Phone (847) 459-7860

1450 Busch Pkwy
Ste 14
Buffalo Grove, IL 60089
Phone (847) 465-1250

1450 Busch Pkwy
Ste 140
Buffalo Grove, IL 60089
Phone (847) 465-1000

3010 Highland Pkwy
Ste 550
Downers Grove, IL 60515
Phone (630) 724-1100

8766 W Dempster St
Niles, IL 60714
Phone (847) 685-1000

1875 Dempster St
Ste 301
Park Ridge, IL 60068
Phone (847) 685-1000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1702944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1760250609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 695",
            "city": "BURLINGTON",
            "state": "IL",
            "postal_code": "601090695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 DEMPSTER ST STE 301",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681127",
            "telephone_number": "847-685-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1450 Busch Pkwy Ste 14",
            "address_purpose": "LOCATION",
            "city": "Buffalo Grove",
            "state": "IL",
            "postal_code": "600894541",
            "country_code": "US",
            "telephone_number": "847-465-1250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROKE",
        "first_name": "MELANIE",
        "middle_name": "KATHERINE",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-19",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147.001984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.