Individual provider Active NPI

Mark Alan Spivey, MD

  • Diagnostic Radiology Physician
  • Plano, TX
National Provider Identifier
1043268204
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
E6632 Issued in TX
Practice address
3901 W 15TH St
Plano, TX 75075
Phone
(972) 596-6800
NPI assigned
May 4, 2006
Last updated
May 10, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X E6632 TX Primary

Addresses

Primary practice location

3901 W 15TH St
Plano, TX 75075

Mailing address

1820 Preston Park Blvd
1825
Plano, TX 75093-3656
Phone (972) 867-7862

Other identifiers 2

IdentifierTypeStateIssuer
83R220OtherTXCOLLIN COUNTY PTAN
129787103MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20051206000959 TX Practitioner - Diagnostic Radiology 9234161076 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical School at Houston, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Radiology Associates LLPGroup PAC ID 3779578000, 154 clinicians

Practice addresses (Care Compare)

3301 Matlock Rd
Arlington, TX 76015-2908
Phone (817) 465-3241

3535 S I35 Frontage Rd
Denton Regional Medical Center
Denton, TX 76210-3535
Phone (940) 384-3535

3901 W 15TH St
Plano, TX 75075-7738
Phone (972) 596-6800

401 W Campbell Rd
Richardson Regional Medical Center
Richardson, TX 75080-3416
Phone (972) 231-1441

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.4 of 100Reported as group
Quality
100
Improvement activities
40
Cost
71.34

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Star CN, LP CurrentSince Oct 1, 2018 Accepting new patients
North Star MRI LP CurrentSince Oct 1, 2018 Accepting new patients
North Star FP, LP CurrentSince Oct 1, 2018 Accepting new patients
North Star FM, LP CurrentSince Oct 1, 2018 Accepting new patients
North Star MCD, LLC Current Accepting new patients
Texas Radiology Associates LLP Diagnostic Radiology CurrentSince Aug 1, 1988 Accepting new patients
North Star Diagnostic Imaging, LLC CurrentSince Oct 1, 2018 Accepting new patients
North Star MRI of Frisco LP CurrentSince Oct 1, 2018 Accepting new patients
North Star MCD, LLC CurrentSince Oct 1, 2018 Accepting new patients
Texas Radiology Associates LLP Diagnostic Radiology CurrentSince Aug 1, 1988 Accepting new patients
North Star Plano Parkway, LP CurrentSince Oct 1, 2018 Accepting new patients
North Star GV, LP CurrentSince Oct 1, 2018 Accepting new patients
North Star MCD, LLC CurrentSince Oct 1, 2018 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
Open Diagnostic Imaging Past Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4780 N Josey Ln
Carrollton, TX 75010
Phone (972) 492-1334

12230 Coit Rd
Ste 100
Dallas, TX 75251
Phone (214) 252-7020

3535 S Interstate 35 E
Denton, TX 76210
Phone (940) 384-3013

8501 Wade Blvd
#220N
Frisco, TX 75034

1820 Preston Park Blvd
Ste 1825
Plano, TX 75093

3700 W 15th St
Bldg D
Plano, TX 75075
Phone (972) 612-0523

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

4031 W Plano Pkwy
Ste 100
Plano, TX 75093
Phone (469) 326-8623

401 W Campbell Rd
Richardson, TX 75080
Phone (940) 384-3535

4140 E Renner Rd
Ste 100
Richardson, TX 75082
Phone (972) 920-0115

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 5

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1043268204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 PRESTON PARK BLVD",
            "address_2": "1825",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933656",
            "telephone_number": "972-867-7862",
            "fax_number": "972-612-1623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 W 15TH ST",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75075",
            "telephone_number": "972-596-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIVEY",
        "first_name": "MARK",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "E6632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLLIN COUNTY PTAN",
            "identifier": "83R220",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129787103",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.