Tyler Raup, AU.D

Primary specialty

AudiologistTaxonomy code 231H00000X

License

01382 Issued in MD

Practice address

580 Ritchie Hwy
Suite I
Severna Park, MD 21146-3924

Phone

(410) 647-7795

Fax

(410) 315-8823

NPI assigned

Jul 18, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chesapeake Hearing Centers IncGroup PAC ID 0840243259, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Chesapeake Hearing Centers Inc

  • Audiologist
  • Severna Park, MD
  • NPI 1093850216
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461542400000",
    "number": "1932583051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 RITCHIE HWY",
            "address_2": "SUITE I",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463924",
            "telephone_number": "410-647-7795",
            "fax_number": "410-315-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 RITCHIE HWY",
            "address_2": "SUITE I",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463924",
            "telephone_number": "410-647-7795",
            "fax_number": "410-315-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUP",
        "first_name": "TYLER",
        "credential": "AU.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-18",
        "last_updated": "2016-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "01382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSES",
            "identifier": "01382",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ram Ragoo, PHARMD
• Moizza Rajan, DDS
• Teresa Rajput
• Lydia Abejuela Ramento-Tipon, PT
• Dana Rand
• Angela Rawlinson
• Shaneeta D Reaves, LCPC
• Rediclinic of MD, LLC
• Daryn Reeder
• Shakeena Reeder, BEHAVIOR TECHNICIAN

• Audiologist in Severna Park, MD
• Providers in Severna Park, MD by specialty
• Audiologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.