Individual provider Active NPI

Sarah Shahbodaghi, AU.D.

  • Audiologist
  • Memphis, TN
National Provider Identifier
1922524487
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1785 Issued in TN
Practice address
6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone
(901) 226-5000
NPI assigned
Aug 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1785 TN Primary

Addresses

Primary practice location

6019 Walnut Grove Rd
Memphis, TN 38120-2113

Mailing address

6025 Walnut Grove Road
Suite C1011
Memphis, TN 38120
Phone (901) 226-5524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, SC, GA, ID4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20171204002637 TN Practitioner - Qualified Audiologist 2961769781 Reassigns benefits to 1 organization
I20190129003461 SC Practitioner - Qualified Audiologist 2961769781
I20190319000801 GA Practitioner - Qualified Audiologist 2961769781
I20251120004095 ID Practitioner - Qualified Audiologist 2961769781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Audiology Center IncGroup PAC ID 8426947839, 5 clinicians

Practice addresses (Care Compare)

700 W Ironwood Dr
Suite 262
Coeur D Alene, ID 83814-4400
Phone (208) 765-4961

Merit-based Incentive Payment System (MIPS)

Final score
90.28 of 100Reported as group
Quality
82.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1785TNMDVeterinarian

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Hospital CurrentSince Aug 14, 2017 Accepting new patients
Audiology Center Inc. Audiologist CurrentSince Jan 19, 2026 Accepting new patients
Augusta ENT PC CurrentSince Jan 1, 2016 Accepting new patients
Augusta ENT PC CurrentSince Jan 1, 2016 Accepting new patients
Baptist Memorial Hospital CurrentSince Aug 14, 2017 Accepting new patients

Locations

804 Scott Nixon Memorial Dr
#D
Augusta, GA 30907

720 Saint Sebastian Way
Ste 201
Augusta, GA 30901
Phone (478) 746-7577

340 N Belair Rd
Evans, GA 30809
Phone 7068685676650

1301 Statesboro Place Cir
Statesboro, GA 30458
Phone (912) 500-2834

700 W Ironwood Dr
Ste 262
Coeur D Alene, ID 83814
Phone (208) 255-4389

170 University Pkwy
Aiken, SC 29801
Phone (803) 649-9975

1500 W Poplar Ave
Collierville, TN 38017
Phone (901) 227-8140

6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190

6025 Walnut Grove Rd
Ste C1011
Memphis, TN 38120
Phone (901) 226-5524

8102 W Grandridge Blvd
#A
Kennewick, WA 99336
Phone (509) 735-7461

Interoperability endpoints

  • Direct secure messaging: sshahbod@augustaent.emadirect.md

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": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1922524487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6025 WALNUT GROVE ROAD",
            "address_2": "SUITE C1011",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38120",
            "telephone_number": "901-226-5524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6019 WALNUT GROVE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202113",
            "telephone_number": "901-226-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHBODAGHI",
        "first_name": "SARAH",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-16",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "1785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.