Individual provider Active NPI

Ryan Malkiewicz, AU.D

  • Audiologist
  • Largo, FL
National Provider Identifier
1922475805
Registry record updated Aug 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
8200 Bryan Dairy Rd
Suite 340
Largo, FL 33777-1363
Phone
(727) 398-5428
NPI assigned
Aug 27, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2015

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

8200 Bryan Dairy Rd
Suite 340
Largo, FL 33777-1363

Mailing address

8200 Bryan Dairy Rd
Suite 340
Largo, FL 33777-1363
Phone (727) 398-5428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221006000321 DC Practitioner - Qualified Audiologist 3476939901 Reassigns benefits to 1 organization
I20221102000741 VA Practitioner - Qualified Audiologist 3476939901 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doxonik EnterprizesGroup PAC ID 7911329867, 2 clinicians

Practice addresses (Care Compare)

2119 Lafayette Blvd
Fredericksburg, VA 22401-2227
Phone (540) 373-6797

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Doxonik Enterprizes Audiologist CurrentSince Oct 13, 2023 Accepting new patients

Locations

2119 Lafayette Blvd
Fredericksburg, VA 22401
Phone (540) 373-6797

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": "1440633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440633600000",
    "number": "1922475805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 BRYAN DAIRY RD",
            "address_2": "SUITE 340",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337771363",
            "telephone_number": "727-398-5428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 BRYAN DAIRY RD",
            "address_2": "SUITE 340",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337771363",
            "telephone_number": "727-398-5428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALKIEWICZ",
        "first_name": "RYAN",
        "credential": "AU.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-27",
        "last_updated": "2015-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; 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.