Individual provider Active NPI

Emily Rose Miklusak, AU.D.

  • Audiologist
  • Columbus, IN
National Provider Identifier
1881443224
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
2475 Northpark Dr Ste 10
Columbus, IN 47203-2215
Phone
(812) 372-1886
NPI assigned
May 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X Primary

Addresses

Primary practice location

2475 Northpark Dr Ste 10
Columbus, IN 47203-2215

Mailing address

2475 Northpark Dr Ste 10
Columbus, IN 47203-2215
Phone (812) 372-1886

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240711000690 IN Practitioner - Qualified Audiologist 4486199700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sound Hearing Solutions LLCGroup PAC ID 3577639681, 2 clinicians

Practice addresses (Care Compare)

2475 Northpark Dr
Suite 10
Columbus, IN 47203-2215
Phone (812) 372-1886

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Hearing Solutions LLC CurrentSince Jul 1, 2024 Accepting new patients

Locations

2475 Northpark Dr
Ste 10
Columbus, IN 47203
Phone (812) 372-1886

Organizations & group practices 1

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": "1715904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1881443224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 NORTHPARK DR STE 10",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472032215",
            "telephone_number": "812-372-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 NORTHPARK DR STE 10",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472032215",
            "telephone_number": "812-372-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKLUSAK",
        "first_name": "EMILY",
        "middle_name": "ROSE",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-17",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; 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.