Individual provider Active NPI

Todd Andrew Powell, AU.D.

  • Audiologist-Hearing Aid Fitter
  • Albuquerque, NM
National Provider Identifier
1821375361
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
5007 Issued in NM
Practice address
7001 Prospect PL NE
Albuquerque, NM 87110
Phone
(505) 764-0036
Fax
(505) 764-0446
NPI assigned
Nov 11, 2011
Last updated
Aug 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 5007 NM Primary

Addresses

Primary practice location

7001 Prospect PL NE
Albuquerque, NM 87110

Mailing address

7001 Prospect PL NE
Albuquerque, NM 87110-4311
Phone (505) 764-0036

Other practice location 1

5015 Prospect Ave NE
Albuquerque, NM 87110-4045
Phone (505) 764-0036 ext. 118

Other identifiers 27

IdentifierTypeStateIssuer
320057OtherNMSANTA FE INDIAN HOSPITAL MEDICARE O/C
HSZ180OtherNMSANFELIPEPHC MEDICARE PIN
HSZ181OtherNMCOCHITI PUEBLO HEALTH CLINIC MEDICARE PIN
HSZ189OtherNMTPSU MEDICARE PART B
320057OtherNMTPSU MEDICARE PART A
82674060OtherNMKEWA PHC MEDICAID
HSZ178OtherNMSANTA FE INDIAN HOSPITAL MEDICARE PIN
31174256OtherNMSANTAANAPHC MEDICAID
320057OtherNMSANFELIPEPHC MEDICARE OSCAR/CERTIFICATION
H1232OtherNMSANFELIPEPHC MEDICAID
L9815OtherNMCANONCITOHC MEDICAID
320057OtherNMCOCHITI HEALTH CLINIC AND SANTA FE INDIAN HOSPITAL MEDICARE O/C
63476274MedicaidNM
HSZ022OtherNMCANONCITOHC MEDICARE PIN
HSZ164OtherNMSANDIAPHC MEDICARE
K1576OtherNMMEDICAID-TRIBAL AUDIOLOGY AAIHB
PHS000OtherNMALBUQUERQUE MEDICARE UPIN
TR2037OtherNMKEWA PHC MEDICARE PLAN B
H7890OtherNMAIHC MEDICAID
K3543OtherNMTPSU MEDICAID
320056OtherNMAIHC MEDICARE UNSPECIFIED
320070OtherNMCANONCITOHC OSCAR/CERTIFICATION
H7890OtherNMSANDIAPHC MEDICAID
HSZ159OtherNMSANTAANAPHC OTHER
54651263OtherNMMEDICAID-AAIHB PUEBLO AUDIOLOGY
H1232OtherNMCOCHITI HEALTH CLINIC AND SANTA FE INDIAN HOSPITAL MEDICAID
HSZ841YRUFOtherNMPROVIDER MEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131017001423 TX Practitioner - Qualified Audiologist 3971777020 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albuquerque Indian Health CenterGroup PAC ID 7719883164, 55 clinicians

Practice addresses (Care Compare)

801 Vassar Dr NE
Albuquerque, NM 87106-2725
Phone (505) 248-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5007NMMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Taos Picuris Health Center CurrentSince Jul 11, 2013 Accepting new patients
Pueblo of Sandia CurrentSince Jul 11, 2013 Accepting new patients
Santa Ana Health Center CurrentSince Aug 1, 2014 Accepting new patients
Santa Ana Health Clinic Pharmacy Past Accepting new patients
Albuquerque Area Indian Health Board Past Accepting new patients
Tribal Audiology Past Accepting new patients

Locations

801 Vassar Dr NE
Albuquerque, NM 87106
Phone (505) 248-4000

2 Dove Rd
#C
Bernalillo, NM 87004
Phone (505) 867-2497

481 Sandia Loop
Sandia Pueblo, NM 87004
Phone (505) 867-4696

Organizations & group practices 7

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": "1320969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1821375361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 PROSPECT PL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104311",
            "telephone_number": "505-764-0036",
            "fax_number": "505-764-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 PROSPECT PL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87110",
            "telephone_number": "505-764-0036",
            "fax_number": "505-764-0446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5015 Prospect Ave NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871104045",
            "country_code": "US",
            "telephone_number": "505-764-0036 x118",
            "fax_number": "505-764-0446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL",
        "first_name": "TODD",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-11",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NM",
            "license": "5007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SANTA FE INDIAN HOSPITAL MEDICARE O/C",
            "identifier": "320057",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SANFELIPEPHC MEDICARE PIN",
            "identifier": "HSZ180",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COCHITI PUEBLO HEALTH CLINIC MEDICARE PIN",
            "identifier": "HSZ181",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPSU MEDICARE PART B",
            "identifier": "HSZ189",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPSU MEDICARE PART A",
            "identifier": "320057",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEWA PHC MEDICAID",
            "identifier": "82674060",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SANTA FE INDIAN HOSPITAL MEDICARE PIN",
            "identifier": "HSZ178",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SANTAANAPHC MEDICAID",
            "identifier": "31174256",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SANFELIPEPHC MEDICARE OSCAR/CERTIFICATION",
            "identifier": "320057",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SANFELIPEPHC MEDICAID",
            "identifier": "H1232",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CANONCITOHC MEDICAID",
            "identifier": "L9815",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COCHITI HEALTH CLINIC AND SANTA FE INDIAN HOSPITAL MEDICARE O/C",
            "identifier": "320057",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "63476274",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CANONCITOHC MEDICARE PIN",
            "identifier": "HSZ022",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SANDIAPHC MEDICARE",
            "identifier": "HSZ164",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID-TRIBAL AUDIOLOGY AAIHB",
            "identifier": "K1576",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALBUQUERQUE MEDICARE UPIN",
            "identifier": "PHS000",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEWA PHC MEDICARE PLAN B",
            "identifier": "TR2037",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AIHC MEDICAID",
            "identifier": "H7890",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPSU MEDICAID",
            "identifier": "K3543",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AIHC MEDICARE UNSPECIFIED",
            "identifier": "320056",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CANONCITOHC OSCAR/CERTIFICATION",
            "identifier": "320070",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SANDIAPHC MEDICAID",
            "identifier": "H7890",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SANTAANAPHC OTHER",
            "identifier": "HSZ159",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID-AAIHB PUEBLO AUDIOLOGY",
            "identifier": "54651263",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COCHITI HEALTH CLINIC AND SANTA FE INDIAN HOSPITAL MEDICAID",
            "identifier": "H1232",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER MEDICARE PTAN",
            "identifier": "HSZ841YRUF",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.