LAURIE K OBERG (AUDIOLOGIST) – Audiologist, NPI 1093937864
Audiologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
105 QUALIFIED AUDIOLOGIST in UT
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Provider Addresses for LAURIE K OBERG (AUDIOLOGIST)
44, North Medical Drive, Salt Lake City, Salt Lake County, Utah, 84113, United States
SALT LAKE CITY, UT 841131105
Phone: (801) 584-8215
Type: Location
1460 West, Jordan Meadows, Salt Lake City, Salt Lake County, Utah, 84134, United States
SALT LAKE CITY, UT 841231255
Phone: (801) 972-2451
Type: Mailing
149 W 4050 N
PLEASANT VIEW, UT 844142739
Phone: (801) 592-8109
Type: Mailing
9361 S 300 E
SANDY, UT 840702902
Phone: (801) 826-5000
Type: Location
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: 2025-04-25
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 |
|---|---|---|---|---|
| I20250425000213 | I | Qualified Audiologist | TX | 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 84113)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| Emergency Medicine | CA | |
| Neurology, Ophthalmology | AZ | |
| Diagnostic Radiology | MN | |
| Osteopathic Manipulative Medicine, Family Practice | AZ | |
| Hematology/Oncology, Medical Oncology, Internal Medicine | WI | |
| - | AZ | |
| - | CO | |
| Emergency Medicine | CA | |
| Family Practice | PR |
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