Individual provider Active NPI

Karen Kantzes, AUD

  • Audiologist
  • Cleveland, OH
National Provider Identifier
1770660870
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A.01094 Issued in OH
Practice address
11635 Euclid Ave
Cleveland, OH 44106-4319
Phone
(216) 231-8787
Fax
(216) 231-7141
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A-01094 OH
Audiologist 231H00000X A.01094 OH Primary

Addresses

Primary practice location

11635 Euclid Ave
Cleveland, OH 44106-4319

Mailing address

11635 Euclid Ave
Cleveland, OH 44106-4319
Phone (216) 231-8787

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140721000666 OH Practitioner - Qualified Audiologist 6507082989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland Hearing and Speech CenterGroup PAC ID 2163590217, 13 clinicians

Practice addresses (Care Compare)

11635 Euclid Ave
Cleveland, OH 44106-4319
Phone (216) 231-8787

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A-01094OHMDAudiologist
A.01094OHMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Hearing and Speech Center Audiologist CurrentSince Jul 1, 1997 Accepting new patients
Cleveland Hearing and Speech Center PastSince Jul 1, 1997 Accepting new patients

Locations

11635 Euclid Ave
Cleveland, OH 44106
Phone (216) 231-8787

6001 Euclid Ave
Ste 100
Cleveland, OH 44103
Phone (216) 231-8787

29540 Center Ridge Rd
#B
Westlake, OH 44145
Phone (440) 455-9898

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1770660870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11635 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441064319",
            "telephone_number": "216-231-8787",
            "fax_number": "216-231-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11635 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441064319",
            "telephone_number": "216-231-8787",
            "fax_number": "216-231-7141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTZES",
        "first_name": "KAREN",
        "name_prefix": "Mrs.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A-01094",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A.01094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.