Individual provider Active NPI

Jeff A Zolt, MA CCCA

  • Audiologist
  • Silver Spring, MD
National Provider Identifier
1760400287
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
824 Issued in MD
Practice address
1734 Elton Rd
Suite 104
Silver Spring, MD 20903
Phone
(301) 434-4300
Fax
(301) 434-6299
NPI assigned
Jul 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 824 MD Primary

Addresses

Primary practice location

1734 Elton Rd
Suite 104
Silver Spring, MD 20903

Mailing address

1734 Elton Rd
Suite 104
Silver Spring, MD 20903
Phone (301) 434-4300

Other identifiers 3

IdentifierTypeStateIssuer
60821101OtherMDBCBS
31570003OtherDCBCBS
254811OtherMAMSI PRODUCTS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120410000605 DC Practitioner - Qualified Audiologist 8123288891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rise Audiology, LLCGroup PAC ID 9739598137, 14 clinicians

Practice addresses (Care Compare)

9800 Falls Rd
Suite 5
Potomac, MD 20854-3941
Phone (301) 339-8583

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
824MDMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Audiology, LLC Audiologist CurrentSince Oct 3, 2023 Accepting new patients
Rise Audiology, LLC Audiologist CurrentSince Oct 3, 2023 Accepting new patients
Rise Audiology, LLC Audiologist Current Accepting new patients
Rise Audiology, LLC Past Accepting new patients

Locations

9800 Falls Rd
Ste 5
Potomac, MD 20854
Phone (301) 339-8583

1734 Elton Rd
Ste 104
Silver Spring, MD 20903
Phone (301) 434-4300

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760400287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1734 ELTON RD",
            "address_2": "SUITE 104",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "20903",
            "telephone_number": "301-434-4300",
            "fax_number": "301-434-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1734 ELTON RD",
            "address_2": "SUITE 104",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "20903",
            "telephone_number": "301-434-4300",
            "fax_number": "301-434-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOLT",
        "first_name": "JEFF",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MA CCCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "60821101",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "31570003",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI PRODUCTS",
            "identifier": "254811",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.