Individual provider Active NPI

Anthony Joseph Milliano Sr., AU.D.

  • Audiologist-Hearing Aid Fitter
  • Paducah, KY
National Provider Identifier
1912195231
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
KY0245 Issued in KY
Practice address
4570 Pecan Dr Ste a
Paducah, KY 42001-6717
Phone
(270) 554-6000
NPI assigned
Oct 11, 2007
Last updated
May 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X KY0245 KY Primary
Hearing Instrument Specialist 237700000X KY0632 KY

Addresses

Primary practice location

4570 Pecan Dr Ste a
Paducah, KY 42001-6717

Mailing address

4570 Pecan Dr Ste a
Paducah, KY 42001-6717
Phone (270) 554-6000

Other practice location 1

150 Brett Chase
Suite B
Paducah, KY 42003-5706
Phone (270) 554-6000

Other identifiers 4

IdentifierTypeStateIssuer
000000326458OtherKYANTHEM
4408277OtherAETNA
655374OtherHEALTHLINK
70002456MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040317000023 KY Practitioner - Qualified Audiologist 3971492471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Milliano Audiology LLCGroup PAC ID 0941199434, 3 clinicians

Practice addresses (Care Compare)

4570 Pecan Dr
Suite a
Paducah, KY 42001-6717
Phone (270) 554-6000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
KY0245KYMDPodiatrist
KY0632KYMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Milliano Audiology LLC Audiologist-Hearing Aid Fitter CurrentSince Sep 17, 2003 Accepting new patients

Locations

1711 State Route 121 Byp N
Murray, KY 42071
Phone (270) 753-9479

1713 State Route 121 N
Murray, KY 42071
Phone (270) 759-7000

150 Brett Chase
#B
Paducah, KY 42003
Phone (270) 554-4820

4570 Pecan Dr
Ste A
Paducah, KY 42001
Phone (270) 554-6000

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, 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": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1912195231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4570 PECAN DR STE A",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420016717",
            "telephone_number": "270-554-6000",
            "fax_number": "270-554-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4570 PECAN DR STE A",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420016717",
            "telephone_number": "270-554-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Brett Chase",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Paducah",
            "state": "KY",
            "postal_code": "420035706",
            "country_code": "US",
            "telephone_number": "270-554-6000",
            "fax_number": "270-554-6995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLIANO",
        "first_name": "ANTHONY",
        "middle_name": "JOSEPH",
        "name_suffix": "Sr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-11",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "KY",
            "license": "KY0245",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "KY",
            "license": "KY0632",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000326458",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4408277",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "655374",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "70002456",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

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