Individual provider Active NPI

Susan Mechanic Hyman, AUD

  • Audiologist
  • Beaumont, TX
National Provider Identifier
1972506467
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
50521 Issued in TX
Practice address
2190 Eastex Fwy
Beaumont, TX 77703-4939
Phone
(409) 832-0999
Fax
(409) 832-0993
NPI assigned
May 27, 2005
Reactivated
Mar 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 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 50521 TX Primary

Addresses

Primary practice location

2190 Eastex Fwy
Beaumont, TX 77703-4939

Mailing address

2190 Eastex Fwy
Beaumont, TX 77703-4939
Phone (409) 832-0999

Other identifiers 1

IdentifierTypeStateIssuer
094583403MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100106000289 TX Practitioner - Qualified Audiologist 8729037999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2190 Eastex Fwy
Beaumont, TX 77703-4939
Phone (409) 832-0999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Danari, Inc Audiologist CurrentSince Jan 25, 1996 Accepting new patients
Danari, Inc Current Accepting new patients

Locations

2190 Eastex Fwy
Beaumont, TX 77703
Phone (409) 832-0999

Organizations & group practices 2

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": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1972506467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2190 EASTEX FWY",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777034939",
            "telephone_number": "409-832-0999",
            "fax_number": "409-832-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 EASTEX FWY",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777034939",
            "telephone_number": "409-832-0999",
            "fax_number": "409-832-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYMAN",
        "first_name": "SUSAN",
        "middle_name": "MECHANIC",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-05-27",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "50521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094583403",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.