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SAMANTHA BLOODGOOD AU.D.
NPI 1194593079
Audiologist in Park Ridge, IL

Active since December 19, 2023Accepts Medicare Assignment
2604 DEMPSTER ST STE 501, PARK RIDGE, IL 60068(847) 674-5585 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Samantha Bloodgood Au.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA BLOODGOOD AU.D. (NPI 1194593079) is an individual audiologist in Park Ridge, Illinois, licensed in Illinois (147.001985) and active in the NPI registry since December 2023. She maintains a secondary practice location in Niles and is a graduate of Other (2023).

NPPES Registry Identity

NPI1194593079
Entity TypeIndividualFemale
Primary Taxonomy231H00000X
Provider Legal NameSAMANTHA BLOODGOODCredential: AU.D.
Location Address2604 DEMPSTER ST STE 501Park Ridge, IL 60068-8429
Mailing Address2246 W Lawrence Ave Unit 402Chicago, IL 60625-7550
Phone(847) 674-5585
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 19, 2023
Last NPPES UpdateMay 8, 2024
NPPES CertifiedMay 8, 2024
✔ NPI 1194593079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
License✔ Licensed in IL · 147.001985
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
2604 DEMPSTER ST STE 501, Park Ridge, IL 60068
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Secondary Practice Location 1

Location 18780 W Golf Rd Ste 200Niles, IL 60714-5611 · Phone (847) 674-5585

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samantha Bloodgood Au.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698119485
PECOS Enrollment IDI20240220003977

Medicare Billing Reassignments

3

Medicare enrollment records show Samantha Bloodgood reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ear, Nose & Throat Specialists Of Illinois Ltd
Same address
Specialist
2604 DEMPSTER ST STE 501
Park Ridge, IL 60068
  • Reassigned Medicare billing, Illinois enrollment
  • 27 clinicians in this Medicare group
NPI 1750340949 (847) 674-5585
Hearing Professionals Of Il Ltd
Same address
Audiologist
2604 DEMPSTER ST STE 501
Park Ridge, IL 60068
  • Reassigned Medicare billing, Illinois enrollment
  • 6 clinicians in this Medicare group
NPI 1003010364 (847) 674-5585
Midwest Ent Alliance PLLC
30 mi
Otolaryngology
16001 108TH AVE
Orland Park, IL 60467
  • Reassigned Medicare billing, Illinois enrollment
  • 98 clinicians in this Medicare group
NPI 1588449458 (708) 460-0007

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Comprehensive hearing and speech recognition test 92557
A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
40 services40 patients
Test to assess middle ear function 92567
A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.
40 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60068 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$60.08 typical visit price
range $60.08 – $183.39
Typical copayment $15.02 (range $15.02 – $45.84)
Most-billed visit code 99202
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEARING PROFESSIONALS OF IL LTD
Audiologist
2604 DEMPSTER ST STE 501
PARK RIDGE, IL 60068
Cook County (847) 674-5585
DR. GREGORY S. BUSSELL M.D.
Otolaryngology
2604 DEMPSTER ST STE 501
PARK RIDGE, IL 60068
Cook County (847) 674-5585
DR. LAUREN E MOSS AUD
Audiologist
2604 DEMPSTER ST STE 501
PARK RIDGE, IL 60068
Cook County (847) 674-5585
DR. FRANCIS A. CASPER M.D.
Otolaryngology
2604 DEMPSTER ST STE 501
PARK RIDGE, IL 60068
Cook County (847) 674-5585
DR. BRITTANY NGUYEN AU.D.
Audiologist
2604 DEMPSTER ST STE 501
PARK RIDGE, IL 60068
Cook County (847) 674-5585
DR. SUSAN RICKELS HARRIS AU.D., CCC-A
Audiologist
2604 DEMPSTER ST STE 501
PARK RIDGE, IL 60068
Cook County (847) 674-5585
MERLE ANN NATHAN M.A.
Audiologist-Hearing Aid Fitter
2604 DEMPSTER ST STE 501
PARK RIDGE, IL 60068
Cook County (847) 592-7725
MICHAEL DOUGHERTY MD
Otolaryngology
2604 DEMPSTER ST STE 501
PARK RIDGE, IL 60068
Cook County (847) 674-5585

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Bloodgood's NPI number?

The NPI number for Samantha Bloodgood is 1194593079. It was assigned to this individual provider in the NPPES registry on December 19, 2023.

Where is Samantha Bloodgood located?

Samantha Bloodgood practices at 2604 Dempster St Ste 501, Park Ridge, IL 60068. The listed phone number is (847) 674-5585.

What is Samantha Bloodgood's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Is Samantha Bloodgood enrolled in Medicare?

Yes. Samantha Bloodgood is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Samantha Bloodgood's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Bloodgood reassigns Medicare benefits to 3 organizations: Ear, Nose & Throat Specialists Of Illinois Ltd (Park Ridge, IL), Hearing Professionals Of Il Ltd (Park Ridge, IL) and Midwest Ent Alliance PLLC (Orland Park, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samantha Bloodgood's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Samantha Bloodgood was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.