Individual provider Active NPI

Brendan Moriarty

  • Audiologist
  • Palatine, IL
National Provider Identifier
1831872605
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147.001953 Issued in IL
Practice address
305 E Northwest Hwy
Palatine, IL 60067-8116
Phone
(847) 358-2896
NPI assigned
Aug 9, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 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 147.001953 IL Primary

Addresses

Primary practice location

305 E Northwest Hwy
Palatine, IL 60067-8116

Mailing address

6706 Double Eagle Dr Apt 103
Woodridge, IL 60517-5445
Phone (773) 936-5069

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240802002782 IL Practitioner - Qualified Audiologist 4880131291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartman Hearing Group IncGroup PAC ID 7810239787, 6 clinicians

Practice addresses (Care Compare)

487 Pennsylvania Ave
Glen Ellyn, IL 60137-4403
Phone (630) 858-3277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
147.001953ILMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hartman Hearing Group, Inc. Audiologist CurrentSince Jun 1, 2023 Accepting new patients
Hearing Care of Palatine, Inc. Audiologist PastSince Jun 1, 2023 Accepting new patients

Locations

487 Pennsylvania Ave
Glen Ellyn, IL 60137
Phone (630) 848-3277

305 E Northwest Hwy
Palatine, IL 60067
Phone (847) 358-2896

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": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1831872605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6706 DOUBLE EAGLE DR APT 103",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605175445",
            "telephone_number": "773-936-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E NORTHWEST HWY",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600678116",
            "telephone_number": "847-358-2896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORIARTY",
        "first_name": "BRENDAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147.001953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatine, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.