Doctors of Hearing Healthcare – Audiologist, NPI 1053196360

Doctors of Hearing Healthcare is a healthcare provider. based in Rockford, Illinois. specializing in Audiologist. The NPI Number for Doctors of Hearing Healthcare is 1053196360

Main info

Organization
Name
Doctors of Hearing Healthcare
NPI
1053196360
Phone
(181) 539-9527
Address
435 N MULFORD RD STE 10
Authorized Official
BRYAN EARL TACKABERRY OWNER
Enumeration Date
28 August 2023
Last Update Date
28 August 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness80
Years active:2State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Doctors of Hearing Healthcare

  • 435 N MULFORD RD STE 10

    ROCKFORD, IL 611075100

    Phone: (181) 539-9527

    Fax: (815) 399-3764

    Type: Mailing

  • 5063 SHORELINE RD

    LAKE BARRINGTON, IL 600101700

    Phone: (847) 382-6010

    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: 2023-12-27

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
O20231227003142OClinic/Group PracticeILTBD

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 61107)

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Reviews

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Frequently asked questions

What is the registry number for Doctors of Hearing Healthcare?
The registry entry for Doctors of Hearing Healthcare shows NPI 1053196360.
Is Doctors of Hearing Healthcare currently accepting referrals based on NPI status?
Registry metadata lists Doctors of Hearing Healthcare as active.
How should patients interpret Doctors of Hearing Healthcare's specialty?
The extract shows Audiologist for Doctors of Hearing Healthcare. Clinical services aligned with this taxonomy classification.
What city is tied to Doctors of Hearing Healthcare?
The directory associates Doctors of Hearing Healthcare with Rockford, Illinois. Check all listed addresses for suites or satellite offices.
Can I export Doctors of Hearing Healthcare's record?
You can download the official NPPES record; we summarize key fields for readability.

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