ENT & ALLERGY SPECIALISTS
NPI 1760569545
Otolaryngology in Fort Thomas, KY

Active since November 01, 2006
40 N GRAND AVE, SUITE 101, FORT THOMAS, KY 41075(859) 781-4900(859) 572-3045 Get Directions Write a Review

NPPES record last updated: October 18, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 18, 2019, Oct 8, 2019, Apr 27, 2018 and 1 more (4 updates tracked since 2017).

About Ent & Allergy Specialists NPPES

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

ENT & ALLERGY SPECIALISTS (NPI 1760569545) is a healthcare organization registered as an otolaryngology in Fort Thomas, Kentucky and active in the NPI registry since November 2006. The organization lists Jessica Detrick, Coo, as its authorized official.

NPPES Registry Identity

NPI1760569545
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameHEAD AND NECK SURGERY ASSOCIATES, PSC
Location Address40 N GRAND AVE, SUITE 101Fort Thomas, KY 41075-4107
Mailing Address40 N Grand Ave, Suite 101Fort Thomas, KY 41075-4107 · (859) 781-4900 · Fax (859) 572-3045
Fax(859) 572-3045
Organization SubpartNo
Authorized OfficialJessica DetrickCoo · (859) 572-4104
Enumeration DateNovember 1, 2006
Last NPPES UpdateOctober 18, 20194 updates tracked since enumeration
✔ NPI 1760569545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedOtolaryngology · Pediatric OtolaryngologyTaxonomy 207YP0228X
Also ListedOtolaryngology · Otolaryngic AllergyTaxonomy 207YX0602X
Also ListedOtolaryngology · Otology & NeurotologyTaxonomy 207YX0901X
Also ListedAudiologistTaxonomy 231H00000X
Also ListedHearing Instrument SpecialistTaxonomy 237700000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
40 N GRAND AVE, Fort Thomas, KY 41075

Other Names 1

Doing Business AsEnt & Allergy Specialists

Other Identifiers 4

Medicaid7100266460KY
Medicaid65917965KY
Medicaid100015770IN
Medicaid701342OH

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ent & Allergy Specialists is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateKentuckyEnrollment IDO20050420000600Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

26

Medicare enrollment records show 26 clinicians reassign Medicare billing to Ent & Allergy Specialists, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 20 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Otolaryngology12
Qualified Audiologist9
Allergy/Immunology3
Nurse Practitioner2

Nearest to this location (20)

See all 26
Otolaryngology
NPI 1134206881
40 N GRAND AVE SUITE 101
Fort Thomas, KY 41075
(859) 781-4900
✔ PECOS✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1245685973
40 N GRAND AVE
Fort Thomas, KY 41075
(859) 344-4440
✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1629347869
40 N GRAND AVE SUITE 101
Fort Thomas, KY 41075
(859) 781-4900
✔ Accepts MedicareSame address
Otolaryngology
NPI 1104137454
40 N GRAND AVE SUITE 103
Fort Thomas, KY 41075
(859) 572-3031
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1598842213
40 N GRAND AVE SUITE 101
Fort Thomas, KY 41075
(859) 781-4900
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1467539585
40 N GRAND AVE SUITE 101
Fort Thomas, KY 41075
(859) 781-4900
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1699852780
40 N GRAND AVE SUITE 101
Fort Thomas, KY 41075
(859) 781-4900
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1083971048
40 N GRAND AVE STE.101
Fort Thomas, KY 41075
(937) 475-3327
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1457745929
40 N GRAND AVE STE 101
Fort Thomas, KY 41075
(513) 475-8400
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1649698770
40 N GRAND AVE STE 101
Fort Thomas, KY 41075
(859) 781-4900
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1124644786
40 N GRAND AVE STE 101
Fort Thomas, KY 41075
(859) 781-4900
✔ PECOS✔ Accepts Medicare0.2 mi
Otolaryngology
NPI 1720078264
40 NORTH GRAND AVE. SUITE 101
Ft. Thomas, KY 41075
(859) 781-4900
✔ PECOS✔ Accepts Medicare0.2 mi
Qualified Audiologist
NPI 1285477646
40 N GRAND AVE STE 101
Fort Thomas, KY 41075
(859) 781-4900
✔ Accepts Medicare0.2 mi
Qualified Audiologist
NPI 1245720333
40 N GRAND AVE STE 101
Fort Thomas, KY 41075
(859) 781-4900
✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1003486937
3113 BELLEVUE AVE
Cincinnati, OH 45219
(513) 475-8400
✔ PECOS✔ Accepts Medicare4.8 mi
Allergy/Immunology
NPI 1255389409
2300 CHAMBER CENTER DR STE 102
Lakeside Park, KY 41017
(859) 781-4900
✔ PECOS✔ Accepts Medicare6.2 mi
Qualified Audiologist
NPI 1316786312
20 MEDICAL VILLAGE DR STE 368
Edgewood, KY 41017
(859) 781-4900
✔ Accepts Medicare6.8 mi
Otolaryngology
NPI 1881771996
20 MEDICAL VILLAGE DR SUITE 268
Edgewood, KY 41017
(859) 341-1100
✔ PECOS✔ Accepts Medicare6.8 mi
Otolaryngology
NPI 1144305285
20 MEDICAL VILLAGE DR SUITE 268
Edgewood, KY 41017
(859) 341-1100
✔ PECOS✔ Accepts Medicare6.8 mi
Qualified Audiologist
NPI 1184702029
20 MEDICAL VILLAGE DR SUITE 268
Edgewood, KY 41017
(859) 344-4442
✔ Accepts Medicare6.8 mi
See all 26 clinicians

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

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 Head And Neck Surgery Associates, Psc's NPI number?

The NPI number for Head And Neck Surgery Associates, Psc is 1760569545. It was assigned to this organization in the NPPES registry on November 1, 2006. The provider is doing business as Ent & Allergy Specialists.

Where is Head And Neck Surgery Associates, Psc located?

Head And Neck Surgery Associates, Psc is located at 40 N Grand Ave Suite 101, Fort Thomas, KY 41075. The listed phone number is (859) 781-4900.

What is Head And Neck Surgery Associates, Psc's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Head And Neck Surgery Associates, Psc enrolled in Medicare?

Yes. Head And Neck Surgery Associates, Psc is registered in the Medicare PECOS enrollment system.

When is Head And Neck Surgery Associates, Psc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Kentucky, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Head And Neck Surgery Associates, Psc?

According to the CMS Revalidation Reassignment List (October 2026 release), 26 clinicians in 4 Medicare specialties reassign their Medicare billing to Head And Neck Surgery Associates, Psc. A 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 the clinician's services. The largest specialties are Otolaryngology (12), Qualified Audiologist (9) and Allergy/Immunology (3). Of these, 10 practice at this address and 20 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Head And Neck Surgery Associates, Psc accept?

Health plans from Anthem Blue Cross and Blue Shield list Head And Neck Surgery Associates, Psc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Head And Neck Surgery Associates, Psc was last updated on October 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.