Individual provider Active NPI

Nicole Ludke, AU.D.

  • Audiologist
  • Novi, MI
National Provider Identifier
1972850188
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1601000618 Issued in MI
Practice address
25500 Meadowbrook Rd
Suite 220
Novi, MI 48375-1878
Phone
(248) 477-7020
NPI assigned
Aug 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1601000618 MI Primary

Addresses

Primary practice location

25500 Meadowbrook Rd
Suite 220
Novi, MI 48375-1878

Mailing address

25500 Meadowbrook Rd
Suite 220
Novi, MI 48375-1878
Phone (248) 477-7020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121212000271 MI Practitioner - Qualified Audiologist 8325290653 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grosse Pointe Audiology, LLCGroup PAC ID 8628179322, 3 clinicians

Practice addresses (Care Compare)

20239 Mack Ave
Grosse Pointe Woods, MI 48236-1769
Phone (313) 343-5555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1601000618MIMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Grosse Pointe Audiology, LLC Audiologist CurrentSince Oct 17, 2022 Accepting new patients

Locations

20239 Mack Ave
Grosse Pointe Woods, MI 48236
Phone (313) 343-5555

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": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1972850188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25500 MEADOWBROOK RD",
            "address_2": "SUITE 220",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751878",
            "telephone_number": "248-477-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25500 MEADOWBROOK RD",
            "address_2": "SUITE 220",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751878",
            "telephone_number": "248-477-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDKE",
        "first_name": "NICOLE",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-07",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.