Individual provider Active NPI

Daniel Lorang Spinosa, MD

  • Gynecologic Oncology Physician
  • Edgewood, KY
National Provider Identifier
1083110969
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
61035 Issued in KY
Practice address
1 Medical Village Drive
Edgewood, KY 41017-3403
Phone
(859) 301-2237
NPI assigned
Apr 1, 2018
Last updated
Jul 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X DR.0068061 CO
Gynecologic Oncology Physician 207VX0201X 35.153748 OH
Gynecologic Oncology Physician 207VX0201X 61035 KY Primary

Addresses

Primary practice location

1 Medical Village Drive
Edgewood, KY 41017-3403

Mailing address

3219 Clifton Ave Ste 100
Cincinnati, OH 45220-3035
Phone (513) 862-1888

Other practice location 1

777 Bannock St
Denver, CO 80204
Phone (303) 602-3192

Other practice location 2

1665 Aurora Ct
Aurora, CO 80045-2517
Phone (720) 848-0000

Other practice location 3

3219 Clifton Ave Ste 100
Cincinnati, OH 45220-3035
Phone (513) 862-1888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, OH, KY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220613000688 CO Practitioner - Gynecological OncologyPractitioner - Obstetrics/Gynecology 1759769219 Reassigns benefits to 1 organization
I20250725004021 OH Practitioner - Obstetrics/Gynecology 1759769219 Reassigns benefits to 1 organization
I20250806003248 KY Practitioner - Gynecological Oncology 1759769219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gynecological Oncology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Elizabeth Medical Center, IncGroup PAC ID 0648174623, 187 clinicians
Trihealth H LLCGroup PAC ID 1850570458, 850 clinicians

Practice addresses (Care Compare)

1 Medical Village Dr
Edgewood, KY 41017-3403
Phone (859) 301-4723

3219 Clifton Ave
Suite 100
Cincinnati, OH 45220-3035
Phone (513) 463-4300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.153748OHMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Elizabeth Medical Center, Inc CurrentSince Aug 11, 2025 Accepting new patients
Denver Health and Hospital Authority CurrentSince Jun 1, 2022 Accepting new patients
Denver Health and Hospital Authority CurrentSince Jun 1, 2022 Accepting new patients
Trihealth H LLC CurrentSince Aug 1, 2025 Accepting new patients
St Elizabeth Medical Center, Inc CurrentSince Aug 11, 2025 Accepting new patients
University Physicians Incorporated Current Accepting new patients
Trihealth Physician Institute Past Accepting new patients

Locations

12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

777 Bannock St
Denver, CO 80204

Dept 1061
Denver, CO 80256

1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000

238 Barnes Rd
Williamstown, KY 41097
Phone (859) 292-4000

3219 Clifton Ave
Ste 100
Cincinnati, OH 45220
Phone (513) 862-1888

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721

Organizations & group practices 7

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 8

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": "1522540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1083110969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3219 CLIFTON AVE STE 100",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452203035",
            "telephone_number": "513-862-1888",
            "fax_number": "513-862-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL VILLAGE DRIVE",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410173403",
            "telephone_number": "859-301-2237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 Bannock St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "80204",
            "country_code": "US",
            "telephone_number": "303-602-3192",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1665 Aurora Ct",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800452517",
            "country_code": "US",
            "telephone_number": "720-848-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3219 Clifton Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452203035",
            "country_code": "US",
            "telephone_number": "513-862-1888",
            "fax_number": "513-862-3616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPINOSA",
        "first_name": "DANIEL",
        "middle_name": "LORANG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-01",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "CO",
            "license": "DR.0068061",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "OH",
            "license": "35.153748",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "KY",
            "license": "61035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewood, KY

Sources for this page

Verify at the official NPI Registry.