Organization Active NPI

Peter D. Sotiropoulos, Au.D. & Assoc, PC

  • Assistive Technology Supplier Audiologist
  • Kankakee, IL
National Provider Identifier
1982770038
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistive Technology Supplier AudiologistTaxonomy code 231HA2500X
Legal business name
PETER D. SOTIROPOULOS, AU.D. & ASSOC, PC
Practice address
1455 W Court St
Kankakee, IL 60901-3263
Phone
(815) 939-2024
Fax
(815) 939-3043
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Authorized official

Name
Dr. Peter D. Sotiropoulos, AU.D.NPI 1154310118
Title
President
Phone
(815) 939-2024

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistive Technology Supplier AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231HA2500X IL Primary

Addresses

Primary practice location

1455 W Court St
Kankakee, IL 60901-3263

Mailing address

1455 W Court St
Kankakee, IL 60901-3263
Phone (815) 939-2024

Other identifiers 1

IdentifierTypeStateIssuer
1982770038OtherILNATIONAL PROVIDER NUMBER

Other names 1

  • The Hearing Rehabilitation Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061130000525 IL Part B Supplier - Clinic/Group Practice 9537167457 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Kankakee, IL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1455 W Court St
Kankakee, IL 60901
Phone (815) 939-2024

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1982770038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 W COURT ST",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013263",
            "telephone_number": "815-939-2024",
            "fax_number": "815-939-3043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 W COURT ST",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013263",
            "telephone_number": "815-939-2024",
            "fax_number": "815-939-3043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER D. SOTIROPOULOS, AU.D. & ASSOC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "SOTIROPOULOS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-939-2024",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231HA2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist, Assistive Technology Supplier",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER NUMBER",
            "identifier": "1982770038",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Hearing Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kankakee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.