Individual provider Active NPI

Leah Paul Kavanagh, AUD

  • Audiologist
  • Birmingham, AL
National Provider Identifier
1992366637
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1221A Issued in AL
Practice address
833 Saint Vincents Dr Ste 402
Birmingham, AL 35205-1613
Phone
(205) 933-9236
Fax
(205) 918-1365
NPI assigned
Jun 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 1221A AL
Audiologist 231H00000X 1221A AL Primary

Addresses

Primary practice location

833 Saint Vincents Dr Ste 402
Birmingham, AL 35205-1613

Mailing address

833 Saint Vincents Dr Ste 402
Birmingham, AL 35205-1613
Phone (205) 933-9236

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220209001115 AL Practitioner - Qualified Audiologist 3173916459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT Associates of Alabama PCGroup PAC ID 8921025354, 43 clinicians

Practice addresses (Care Compare)

423 23Rd St N
Pell City, AL 35125-1740
Phone (205) 212-3636

833 Saint Vincents Dr
Suite 402
Birmingham, AL 35205-1613
Phone (205) 212-3540

Suite
402 833 St Vincents Dr
Birmingham, AL 35205-1613

Merit-based Incentive Payment System (MIPS)

Final score
90.23 of 100Reported as group
Quality
90.13
Promoting interoperability
100
Improvement activities
40
Cost
77.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1221AALMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
ENT Associates of Alabama, P.C. CurrentSince Feb 2, 2022 Accepting new patients

Locations

833 Saint Vincents Dr
Ste 402
Birmingham, AL 35205
Phone (205) 212-3540

Organizations & group practices 1

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": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1992366637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 SAINT VINCENTS DR STE 402",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051613",
            "telephone_number": "205-933-9236",
            "fax_number": "205-918-1365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 SAINT VINCENTS DR STE 402",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051613",
            "telephone_number": "205-933-9236",
            "fax_number": "205-918-1365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVANAGH",
        "first_name": "LEAH",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "AL",
            "license": "1221A",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AL",
            "license": "1221A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.