Ivanna Tali Rotman
NPI 1447097456ActiveIndividual· Audiologist· Meridian, ID
Audiologist with Idaho State University, practicing in Meridian, Idaho. Enrolled in Medicare as practitioner - qualified audiologist.
Overview
| NPI | 1447097456 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jul 9, 2024 |
| Last updated in NPPES | Jul 9, 2024 |
| Certified by provider | Jul 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Audiologist Primary | 231H00000X | AUD-6054 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Audiologist (ID) |
|---|
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Qualified Audiologist |
Medical group
- Idaho State UniversityPocatello, ID · 19 clinicians
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