Individual provider Active NPI

Jeffrey Gerard Sirianni, AU.D.

  • Audiologist
  • Kerrville, TX
National Provider Identifier
1780723668
Registry record updated Aug 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
51105 Issued in TX
Practice address
703 Hill Country Dr
Suite 102
Kerrville, TX 78028-6159
Phone
(830) 792-4060
Fax
(830) 792-5288
NPI assigned
Feb 6, 2007
Last updated
Aug 6, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 51105 TX Primary
Audiologist-Hearing Aid Fitter 237600000X 51105 TX

Addresses

Primary practice location

703 Hill Country Dr
Suite 102
Kerrville, TX 78028-6159

Mailing address

703 Hill Country Dr
Suite 102
Kerrville, TX 78028-6159
Phone (830) 792-4060

Other identifiers 3

IdentifierTypeStateIssuer
528425OtherTXBLUE CROSS BLUE SHIELD
149728101MedicaidTX
149728102MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090224000539 TX Practitioner - Qualified Audiologist 3476615014 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Kerrville, TX

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
Audiology and Hearing Services of Kerrville PLLCGroup PAC ID 7012201338, 2 clinicians

Practice addresses (Care Compare)

510 S Adams St
Ann Barsch Audiology
Fredericksburg, TX 78624-4437
Phone (830) 997-5006

703 Hill Country Dr
Suite 102
Kerrville, TX 78028-6160
Phone (830) 792-4060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
51105TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology and Hearing Services of Kerrville PLLC Audiologist CurrentSince Jul 11, 2016 Accepting new patients
Hill Country Dizziness & Balance Center, PLLC Past Accepting new patients

Locations

510 S Adams St
Fredericksburg, TX 78624
Phone (830) 997-5006

703 Hill Country Dr
Ste 102
Kerrville, TX 78028
Phone (830) 762-4060

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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, 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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438819200000",
    "number": "1780723668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 HILL COUNTRY DR",
            "address_2": "SUITE 102",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780286159",
            "telephone_number": "830-792-4060",
            "fax_number": "830-792-5288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 HILL COUNTRY DR",
            "address_2": "SUITE 102",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780286159",
            "telephone_number": "830-792-4060",
            "fax_number": "830-792-5288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRIANNI",
        "first_name": "JEFFREY",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2015-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "51105",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TX",
            "license": "51105",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "528425",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149728101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149728102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerrville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.