Individual provider Active NPI

Albert Spare

  • Anesthesiology Physician
  • Jeffersonville, IN
National Provider Identifier
1023548179
Registry record updated Jul 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
01087703A Issued in IN
Practice address
1220 Missouri Ave
Jeffersonville, IN 47130-3725
Phone
(812) 282-6631
NPI assigned
Jun 12, 2017
Last updated
Jul 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 01087703A IN Primary

Addresses

Primary practice location

1220 Missouri Ave
Jeffersonville, IN 47130-3725

Mailing address

2925 Field Ave
Louisville, KY 40206-1531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220915003621 IN Practitioner - Anesthesiology 6305221086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
One Anesthesia PLLCGroup PAC ID 7113816174, 13 clinicians

Practice addresses (Care Compare)

1220 Missouri Ave
RM 2547
Jeffersonville, IN 47130-3725
Phone (812) 282-6631

1850 State St
New Albany, IN 47150-4990
Phone (812) 944-7701

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01087703AINMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
One Anesthesia PLLC Anesthesiology CurrentSince Aug 7, 2022 Accepting new patients
U S Anesthesia Partners of Kentucky PSC Anesthesiology PastSince Jul 1, 2023 Accepting new patients

Locations

1220 Missouri Ave
Rm 2547
Jeffersonville, IN 47130

1220 Missouri Ave
Jeffersonvlle, IN 47130
Phone (812) 282-2072

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

320 Whittington Pkwy
Ste 301
Louisville, KY 40222
Phone (502) 625-5584

Organizations & group practices 2

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658016000000",
    "number": "1023548179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 FIELD AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402061531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 MISSOURI AVE",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303725",
            "telephone_number": "812-282-6631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARE",
        "first_name": "ALBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-12",
        "last_updated": "2022-07-17",
        "certification_date": "2022-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01087703A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

Verify at the official NPI Registry.