DR. MYLES DEVOE ALEXANDRIUS MARION (AU.D.) – Audiologist, NPI 1083456115

DR. MYLES DEVOE ALEXANDRIUS MARION (AU.D.) is a healthcare provider. based in Baltimore, Maryland. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AU.D.. They hold a License No. 01675 (MD). The NPI Number for DR. MYLES DEVOE ALEXANDRIUS MARION (AU.D.) is 1083456115

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
DR. MYLES DEVOE ALEXANDRIUS MARION (AU.D.)
NPI
1083456115
Phone
(410) 789-8494
Address
4000 Annapolis Rd Ste 202
Enumeration Date
10 June 2024
Last Update Date
10 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4103217960
Graduation Year
2024 (2 years ago)
PAC ID
4587107743
Group Practice PAC ID
1456493543
Professional Enrollment ID
I20240617002892
Address ID
MD210935155TI1813XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

289 QUALIFIED AUDIOLOGIST in MD

Provider Addresses for DR. MYLES DEVOE ALEXANDRIUS MARION (AU.D.)

  • 4000 Annapolis Rd Ste 202

    Baltimore, MD 212273655

    Phone: (410) 789-8494

    Fax: (410) 789-8495

    Type: Location

  • 1813 YORK RD STE B

    TIMONIUM, MD 210935155

    Phone: (410) 321-7960

    Fax: (410) 702-4660

    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: 2024-06-17

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240617002892IQualified AudiologistMDTBD

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.

Verify on CMS Revalidation Lookup Tool

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 21227)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1456493543View full group profile
NameSpecialtyState
Qualified AudiologistMD
Qualified AudiologistMD
Qualified AudiologistNJ
Qualified AudiologistMD
-MD
Qualified AudiologistVA
Qualified AudiologistMD
Qualified AudiologistMD
Qualified AudiologistMD
Qualified AudiologistMD

Reviews

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Frequently asked questions

What unique ID ties claims to DR. MYLES DEVOE ALEXANDRIUS MARION (AU.D.)?
NPI 1083456115 is assigned to DR. MYLES DEVOE ALEXANDRIUS MARION (AU.D.) under the national enumeration system.
Does this profile mean DR. MYLES DEVOE ALEXANDRIUS MARION (AU.D.) is currently active?
Yes — DR. MYLES DEVOE ALEXANDRIUS MARION (AU.D.) appears active in the national provider directory.
Can you summarize DR. MYLES DEVOE ALEXANDRIUS MARION (AU.D.)'s specialty in plain language?
Clinically, the directory lists DR. MYLES DEVOE ALEXANDRIUS MARION (AU.D.) with Audiologist. Clinical services aligned with this taxonomy classification.
Where is DR. MYLES DEVOE ALEXANDRIUS MARION (AU.D.)'s primary listing?
We display Baltimore, Maryland because that is what the record indicates for DR. MYLES DEVOE ALEXANDRIUS MARION (AU.D.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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