ANGELA MOLTRUP (AU.D.) – Audiologist, NPI 1174074512

ANGELA MOLTRUP (AU.D.) is a healthcare provider. based in Ithaca, New York. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AU.D.. They hold a License No. 002861 (NY). The NPI Number for ANGELA MOLTRUP (AU.D.) is 1174074512

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
ANGELA MOLTRUP (AU.D.)
NPI
1174074512
Phone
(607) 266-0772
Address
2 ASCOT PL
Enumeration Date
20 October 2016
Last Update Date
4 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6072660772
Graduation Year
2016 (10 years ago)
PAC ID
9931461688
Group Practice PAC ID
4587754379
Professional Enrollment ID
I20191022000594
Address ID
NY148501072IT2XXXXPLXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

703 QUALIFIED AUDIOLOGIST in NY

Provider Addresses for ANGELA MOLTRUP (AU.D.)

  • 2 ASCOT PL

    ITHACA, NY 148501072

    Phone: (607) 266-0772

    Type: Mailing

  • 2999 PRINCETON PIKE

    STE 2

    LAWRENCEVILLE, NJ 086483261

    Phone: (609) 403-8840

    Fax: (609) 403-8852

    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: 2019-10-22

PECOS data refreshed: 2026-06-15

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
I20191022000594IQualified AudiologistNYTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92567Test to assess middle ear function288268$0
92557Comprehensive hearing and speech recognition test259250$0
View full utilization report →

Insurance plans in this area (ZIP 14850)

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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: 4587754379View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YNY
O T O L A R Y N G O L O G YNY

Reviews

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Frequently asked questions

Can I cross-check ANGELA MOLTRUP (AU.D.) using NPI 1174074512?
NPI 1174074512 belongs to ANGELA MOLTRUP (AU.D.); compare other details if you need extra assurance.
Active or inactive — what applies to ANGELA MOLTRUP (AU.D.)?
You should see ANGELA MOLTRUP (AU.D.) as active in CMS-hosted NPPES data.
What area of care is associated with ANGELA MOLTRUP (AU.D.)?
ANGELA MOLTRUP (AU.D.)'s record emphasizes Audiologist. Clinical services aligned with this taxonomy classification.
Is ANGELA MOLTRUP (AU.D.) associated with Ithaca?
Public fields place ANGELA MOLTRUP (AU.D.) around Ithaca, New York. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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