Individual provider Active NPI

Ganka Anguelova Spassova, M.D.

  • Family Medicine Physician
  • Livonia, MI
National Provider Identifier
1053520148
Registry record updated Dec 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301086697 Issued in MI
Practice address
18770 Farmington Rd
Livonia, MI 48152-3292
Phone
(734) 284-6338
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301086697 MI Primary

Addresses

Primary practice location

18770 Farmington Rd
Livonia, MI 48152-3292

Mailing address

33893 Glenview Dr
Farmington, MI 48335-3423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20090216000113 MI Practitioner - Family Practice 2961567565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

18770 Farmington Rd
Suite 1
Livonia, MI 48152-3292
Phone (734) 655-9084

Hospital & facility affiliations

  • Beaumont Hospital - Taylor Hospital, Taylor, MI, CCN 230270
  • Beaumont Hospital - Farmington Hills Hospital, Farmington Hills, MI, CCN 230151
  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020
  • St Joe Mercy Hospital System Livonia Hospital, Livonia, MI, CCN 230002
  • University of Michigan Health System Hospital, Ann Arbor, MI, CCN 230046
  • Beaumont Taylor Inpatient rehabilitation facility, Taylor, MI, CCN 23T270
  • Riverside Commons Rehab and Nursing Center, LLC Nursing home, Dearborn, MI, CCN 235502

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301086697MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ganka Spassova MD PLLC Family Medicine CurrentSince Dec 12, 2012 Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients

Locations

18181 Oakwood Blvd
Ste 208
Dearborn, MI 48124
Phone (313) 271-5565

18770 Farmington Rd
Livonia, MI 48152
Phone (734) 284-6338

18770 Farmington Rd
Ste 100
Livonia, MI 48152
Phone (734) 284-6338

18770 Farmington Rd
Ste 1
Livonia, MI 48152
Phone (734) 284-6338

1307 Ford Ave
Wyandotte, MI 48192
Phone (734) 282-7000

Interoperability endpoints

  • Direct secure messaging: gspassova221514@direct.hfhs.org

Organizations & group practices 3

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.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481760000000",
    "number": "1053520148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33893 GLENVIEW DR",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483353423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18770 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523292",
            "telephone_number": "734-284-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPASSOVA",
        "first_name": "GANKA",
        "middle_name": "ANGUELOVA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2016-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301086697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.