Individual provider Active NPI

Karen L Spodarek, D.O.

  • Diagnostic Radiology Physician
  • Charleston, SC
National Provider Identifier
1003847948
Registry record updated Nov 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
DO1374 Issued in SC
Practice address
316 Calhoun St
Charleston, SC 29401-1113
Phone
(843) 724-2154
Fax
(843) 805-6277
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2542 KY
Diagnostic Radiology Physician 2085R0202X 4870 OK
Diagnostic Radiology Physician 2085R0202X DO1374 SC Primary

Addresses

Primary practice location

316 Calhoun St
Charleston, SC 29401-1113

Mailing address

PO Box 2363
Indianapolis, IN 46206-2363
Phone (843) 724-2154

Other identifiers 3

IdentifierTypeStateIssuer
200294710AOtherOKOSU MEDICAID
64025422MedicaidKY
200294710BMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2542KYMDDiagnostic Radiology Physician
4870OKMDDiagnostic Radiology Physician
DO1374SCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kentuckiana Diagnostics Diagnostic Radiology Past Accepting new patients
Louisville Radiology Imaging Consultants, PLLC Diagnostic Radiology Past Accepting new patients
Diagnostic Imaging Associates Inc Diagnostic Radiology Past Accepting new patients
Medical Imaging Consultants, PSC Diagnostic Radiology Past Accepting new patients
University Radiological Associates, PSC Diagnostic Radiology Past Accepting new patients
PSF PLLC PastSince Dec 3, 2018 Accepting new patients
Roper Hospital Inc. PastSince Jan 1, 2015 Accepting new patients
Ctca Physicans Group of Oklahoma, Inc Past Accepting new patients
Kentuckiana Emergency Physicians, PLLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://carepath.health-partners.org/Proxy-FHIR/RSF/api/FHIR/R4

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415923200000",
    "number": "1003847948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2363",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462062363",
            "telephone_number": "843-724-2154",
            "fax_number": "843-805-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 CALHOUN ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294011113",
            "telephone_number": "843-724-2154",
            "fax_number": "843-805-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPODAREK",
        "first_name": "KAREN",
        "middle_name": "L",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2014-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "2542",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "4870",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "DO1374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OSU MEDICAID",
            "identifier": "200294710A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64025422",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200294710B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.