Individual provider Active NPI

Anita Altschul

  • Audiologist
  • Livonia, MI
National Provider Identifier
1902255912
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1601000751 Issued in MI
Practice address
31160 Five Mile Rd
Livonia, MI 48154-3642
Phone
(734) 525-3900
Fax
(734) 525-4020
NPI assigned
Jun 9, 2016
Last updated
Sep 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1601000751 MI Primary

Addresses

Primary practice location

31160 Five Mile Rd
Livonia, MI 48154-3642

Mailing address

31160 Five Mile Rd
Livonia, MI 48154-3642

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180315000960 MI Practitioner - Qualified Audiologist 3173885928 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Louisiana State University School of Medicine in New Orleans, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sheila M Ray MD PCGroup PAC ID 5597900605, 2 clinicians

Practice addresses (Care Compare)

13136 Fort St
Southgate, MI 48195-1102
Phone (734) 284-7223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1601000751MIMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mihtar Ventures LLC CurrentSince May 1, 2022 Accepting new patients
Sheila M. Ray MD PC CurrentSince Jun 1, 2024 Accepting new patients
Audiology Distribution, LLC PastSince Feb 10, 2018 Accepting new patients

Locations

28542 Ford Rd
Garden City, MI 48135
Phone (313) 732-0000

13136 Fort St
Southgate, MI 48195
Phone (734) 284-7223

Organizations & group practices 3

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": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1902255912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31160 FIVE MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481543642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31160 FIVE MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481543642",
            "telephone_number": "734-525-3900",
            "fax_number": "734-525-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTSCHUL",
        "first_name": "ANITA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-09",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.