Active NPI
Cody Elston, AUD
- Audiologist
- Dixon, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 147001728
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147001728 | IL | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osf Healthcare System | Audiologist | Current | Accepting new patients |
| KSB Medical Group, Inc. | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| KSB Medical Group, Inc. | Current | Accepting new patients | |
| Osf Healthcare System | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Osf Healthcare System | Past | Accepting new patients | |
| Osf Healthcare System | Past | 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.
-
- Family Medicine Physician
- Dixon, IL
- NPI 1073592119
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Certified Registered Nurse Anesthetist
- Monmouth, IL
- NPI 1811016124
-
- Eyewear Supplier
- Dixon, IL
- NPI 1306814603
-
- General Acute Care Hospital
- Evergreen Park, IL
- NPI 1215572045
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- Community Based Hospice Care Agency
- Loves Park, IL
- NPI 1518997857
-
- Rural Health Clinic/Center
- Monmouth, IL
- NPI 1679606073
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.