Individual provider Active NPI

Cody Elston, AUD

  • Audiologist
  • Dixon, IL
National Provider Identifier
1952953176
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147001728 Issued in IL
Practice address
215 E 1St St Ste 317
Dixon, IL 61021-3190
Phone
(815) 285-5918
Fax
(815) 285-5592
NPI assigned
Jul 9, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 147001728 IL Primary

Addresses

Primary practice location

215 E 1St St Ste 317
Dixon, IL 61021-3190

Mailing address

215 E 1St St Ste 317
Dixon, IL 61021-3190
Phone (815) 285-5918

Other practice location 1

2002 E 5th St
Sterling, IL 61081-3016
Phone (815) 625-7931

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230320001134 IL Practitioner - Qualified Audiologist 7719351477 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
147001728ILMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Osf Healthcare System Audiologist CurrentSince Dec 14, 2025 Accepting new patients
KSB Medical Group, Inc. CurrentSince Mar 6, 2023 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
KSB Medical Group, Inc. CurrentSince Mar 6, 2023 Accepting new patients
Osf Healthcare System CurrentSince Dec 14, 2025 Accepting new patients
Osf Multi-Specialty Group CurrentSince Dec 17, 2024 Accepting new patients
Osf Healthcare System Past Accepting new patients
Osf Healthcare System PastSince Dec 22, 2024 Accepting new patients

Locations

215 E 1st St
Ste 111
Dixon, IL 61021
Phone (815) 285-5477

215 E 1st St
Ste 317
Dixon, IL 61021
Phone (815) 285-5577

1000 W Harlem Ave
Monmouth, IL 61462
Phone (309) 734-1414

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

Organizations & group practices 9

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": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1952953176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E 1ST ST STE 317",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610213190",
            "telephone_number": "815-285-5918",
            "fax_number": "815-285-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E 1ST ST STE 317",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610213190",
            "telephone_number": "815-285-5918",
            "fax_number": "815-285-5592"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2002 E 5th St",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "IL",
            "postal_code": "610813016",
            "country_code": "US",
            "telephone_number": "815-625-7931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELSTON",
        "first_name": "CODY",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-09",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147001728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dixon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.