Individual provider Active NPI

Michelle A Koley, M.A., CCC-A

  • Audiologist
  • Westfield, IN
National Provider Identifier
1851593578
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
23002249A Issued in IN
Practice address
19800 East St Ste 120
Westfield, IN 46074-3833
Phone
(463) 622-9370
Fax
(463) 622-9371
NPI assigned
Jun 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 23002249A IN Primary

Addresses

Primary practice location

19800 East St Ste 120
Westfield, IN 46074-3833

Mailing address

9002 N Meridian St
Ste 222
Indianapolis, IN 46260-5350
Phone (317) 844-7059

Other practice location 1

6640 Parkdale PL
Ste O
Indianapolis, IN 46254-5656
Phone (317) 844-7059

Other identifiers 1

IdentifierTypeStateIssuer
200647470MedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080513000487 IN Practitioner - Qualified Audiologist 5597834846 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Indiana University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Physicians of Indiana IncGroup PAC ID 1759416662, 1,569 clinicians

Practice addresses (Care Compare)

19800 E St
Suite 120
Westfield, IN 46074-3833
Phone (317) 621-7444

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc CurrentSince May 5, 2025 Accepting new patients
Community Physicians of Indiana Inc CurrentSince May 5, 2025 Accepting new patients
Otolaryngology Associates LLC Past Accepting new patients
Otolaryngology Associates, LLC Past Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

19800 East St
#120
Westfield, IN 46074
Phone (317) 621-7120

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IEEADA

Organizations & group practices 5

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": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1851593578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9002 N MERIDIAN ST",
            "address_2": "STE 222",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605350",
            "telephone_number": "317-844-7059",
            "fax_number": "317-819-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19800 EAST ST STE 120",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460743833",
            "telephone_number": "463-622-9370",
            "fax_number": "463-622-9371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6640 PARKDALE PL",
            "address_2": "STE O",
            "address_purpose": "LOCATION",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545656",
            "country_code": "US",
            "telephone_number": "317-844-7059",
            "fax_number": "317-573-4352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLEY",
        "first_name": "MICHELLE",
        "middle_name": "A",
        "credential": "M.A., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IN",
            "license": "23002249A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200647470",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.