DR. RUDOLPH ALOYSIUS CHMELIK (AU.D. CCC-A) – Audiologist, NPI 1215955315
Audiologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
249 QUALIFIED AUDIOLOGIST in IN
Provider Addresses for DR. RUDOLPH ALOYSIUS CHMELIK (AU.D. CCC-A)
6920 PARKDALE PL STE 210
INDIANAPOLIS, IN 462545611
Phone: (866) 284-8788
Type: Location
3560 WATSON RD
INDIANAPOLIS, IN 462053546
Phone: (612) 306-4164
Type: Mailing
6770, Mayfield Road, Mayfield Heights, Cuyahoga County, Ohio, 44124, United States
#210
MAYFIELD HEIGHTS, OH 441242299
Phone: (440) 461-0766
Fax: (440) 461-8221
Type: Location
3314, Hyde Park Avenue, Cain Park Village, Cleveland Heights, Cuyahoga County, Ohio, 44118, United States
CLEVELAND HEIGHTS, OH 441182134
Phone: (612) 306-4164
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-12-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20251230001653 | I | Qualified Audiologist | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46254)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Qualified Audiologist | MA | |
| - | MA | |
| Qualified Audiologist | MO | |
| Qualified Audiologist | NC | |
| Qualified Audiologist | MA | |
| Qualified Audiologist | MA | |
| Qualified Audiologist | IN | |
| Qualified Audiologist | MA | |
| Qualified Audiologist | WI | |
| Qualified Audiologist | NY |
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