Individual provider Active NPI

Sofia Ganev, AU.D.

  • Audiologist
  • Baltimore, MD
National Provider Identifier
1952821241
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
01411 Issued in MD
Practice address
7113 Ambassador Rd
Baltimore, MD 21244-2725
Phone
(410) 944-3100
Fax
(866) 643-0039
NPI assigned
Jun 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 01411 MD Primary

Addresses

Primary practice location

7113 Ambassador Rd
Baltimore, MD 21244-2725

Mailing address

7113 Ambassador Rd
Baltimore, MD 21244-2725
Phone (410) 944-3100

Other identifiers 1

IdentifierTypeStateIssuer
1942325527MedicaidMD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170724000379 MD Practitioner - Qualified Audiologist 5799055893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Hearing Wellness Center LLCGroup PAC ID 4183036593, 2 clinicians

Practice addresses (Care Compare)

2331 York Rd
Suite 102
Lutherville Timonium, MD 21093-2246
Phone (410) 816-9660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Hearing Wellness Center LLC Audiologist CurrentSince Jan 1, 2020 Accepting new patients

Locations

2331 York Rd
Ste 102
Timonium, MD 21093
Phone (410) 409-1010

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1952821241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7113 AMBASSADOR RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212442725",
            "telephone_number": "410-944-3100",
            "fax_number": "866-643-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7113 AMBASSADOR RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212442725",
            "telephone_number": "410-944-3100",
            "fax_number": "866-643-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANEV",
        "first_name": "SOFIA",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "01411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942325527",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.