Individual provider Active NPI

Maira Banuelos Galicia, AUD

  • Audiologist-Hearing Aid Fitter
  • Wichita, KS
National Provider Identifier
1972281954
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
2481 Issued in KS
Practice address
1151 N Rock Rd
Wichita, KS 67206-1262
Phone
(316) 634-3400
NPI assigned
Jul 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 2481 KS Primary

Addresses

Primary practice location

1151 N Rock Rd
Wichita, KS 67206-1262

Mailing address

1151 N Rock Rd
Wichita, KS 67206-1262
Phone (316) 634-3400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230726000609 KS Practitioner - Qualified Audiologist 3476914359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1151 N Rock Rd
Wichita, KS 67206-1262
Phone (316) 634-3400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2481KSMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Via Christi Rehabilitation Hospital, Inc. CurrentSince Jul 9, 2023 Accepting new patients
Ascension Via Christi Rehabilitation Hospital, Inc. CurrentSince Jul 9, 2023 Accepting new patients
Via Christi Rehabilitation Hospital, Inc Past Accepting new patients

Locations

1100 N Saint Francis Ave
Ste 400
Wichita, KS 67214

1151 N Rock Rd
Wichita, KS 67206
Phone (316) 634-3400

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1972281954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 N ROCK RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061262",
            "telephone_number": "316-634-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 N ROCK RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061262",
            "telephone_number": "316-634-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANUELOS GALICIA",
        "first_name": "MAIRA",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "KS",
            "license": "2481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.