Matilda Rose Kennedy-Butler
NPI 1518641000ActiveIndividual· Audiologist· Berlin, MD
Audiologist with Mobile Audiology Associates PC and 1 other group, practicing in Berlin, Maryland. Enrolled in Medicare as practitioner - qualified audiologist and practitioner - qualified audiologist.
Overview
| NPI | 1518641000 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jun 14, 2023 |
| Last updated in NPPES | Apr 6, 2026 |
| Certified by provider | Apr 6, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Audiologist Primary | 231H00000X | 01639 | MD |
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 (DC); Practitioner - Qualified Audiologist (MD) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Qualified Audiologist |
Medical groups
- Mobile Audiology Associates PCMiddletown, CT · 27 clinicians
- Eastern Shore ENT and AllergySalisbury, MD · 9 clinicians