Kevin Kristalovich, AUD, CCC-A
NPI 1083665798ActiveIndividual· Audiologist· Goodyear, AZ
Audiologist (AUD, CCC-A) with Valley ENT PC and 1 other group, practicing in Goodyear, Arizona. Enrolled in Medicare as practitioner - qualified audiologist.
Overview
| NPI | 1083665798 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AUD, CCC-A |
| Sole proprietor | No |
| NPI issued | May 15, 2006 |
| Last updated in NPPES | Nov 13, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Audiologist Primary | 231H00000X | DA2024 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Audiologist (AZ) |
|---|
Education and affiliations
| Graduation year | 1997 |
|---|---|
| Medicare specialty | Qualified Audiologist |
Medical groups
- Valley ENT PCScottsdale, AZ · 73 clinicians
- Advanced Ear Nose and Throat Associates PCPhoenix, AZ · 2 clinicians
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