SAMANTHA ROSE CHARLTON (AUD) – Audiologist, NPI 1336983089

SAMANTHA ROSE CHARLTON (AUD) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AUD. The NPI Number for SAMANTHA ROSE CHARLTON (AUD) is 1336983089

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA ROSE CHARLTON (AUD)
NPI
1336983089
Phone
(215) 456-7140
Address
5501 Old York Rd Bldg 2nd
Enumeration Date
19 June 2024
Last Update Date
10 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2154567140
Graduation Year
2024 (2 years ago)
PAC ID
8527595701
Group Practice PAC ID
0941299895
Professional Enrollment ID
I20250814005022
Address ID
PA191413018PH5501XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:1State licenses:0Digital endpointsOther names

480 QUALIFIED AUDIOLOGIST in PA

Provider Addresses for SAMANTHA ROSE CHARLTON (AUD)

  • 5501 Old York Rd Bldg 2nd

    Philadelphia, PA 191413018

    Phone: (215) 456-7140

    Fax: (215) 456-6671

    Type: Location

  • 8350 Roosevelt Blvd

    Philadelphia, PA 191522531

    Phone: (215) 331-6878

    Fax: (215) 331-4152

    Type: Location

  • 205 N Broad St Ste 401

    Philadelphia, PA 191071553

    Phone: (215) 762-4600

    Fax: (215) 988-0733

    Type: Location

  • 210 Mall Blvd Ste 202

    King Of Prussia, PA 194063260

    Phone: (846) 819-0094

    Fax: (215) 988-0733

    Type: Location

  • 3900 WOODLAND AVE

    PHILADELPHIA, PA 191044551

    Phone: (158) 235-8002

    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: 2025-08-14

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
I20250814005022IQualified AudiologistPATBD

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 19141)

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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: 0941299895View full group profile
NameSpecialtyState
Qualified AudiologistPA
-PA
Qualified AudiologistPA
Qualified AudiologistPA
Qualified AudiologistPA
O T O L A R Y N G O L O G YPA
O T O L A R Y N G O L O G YPA
O T O L A R Y N G O L O G YPA
-PA
Otolaryngology, Allergy/Immunology, Plastic And Reconstructive SurgeryPA

Reviews

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Frequently asked questions

Is SAMANTHA ROSE CHARLTON (AUD) listed with a National Provider Identifier?
Yes — SAMANTHA ROSE CHARLTON (AUD) has NPI 1336983089 on file in the registry.
Would SAMANTHA ROSE CHARLTON (AUD) appear as active to a payer?
You can treat SAMANTHA ROSE CHARLTON (AUD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe SAMANTHA ROSE CHARLTON (AUD)'s focus?
For SAMANTHA ROSE CHARLTON (AUD), the primary taxonomy reads as Audiologist. Clinical services aligned with this taxonomy classification.
Is SAMANTHA ROSE CHARLTON (AUD) associated with Philadelphia?
Public fields place SAMANTHA ROSE CHARLTON (AUD) around Philadelphia, Pennsylvania. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for SAMANTHA ROSE CHARLTON (AUD) is noted as June 19, 2024 where the registry provides it.

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