Individual provider Active NPI

Spencer Sykes Lovegrove

  • Emergency Medicine Physician
  • Baltimore, MD
National Provider Identifier
1114487840
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
D0093472 Issued in MD
Practice address
110 S. Paca Street, Sixth Floor, Suite 200, Baltimore,
Sixth Floor, Suite 200
Baltimore, MD 21201
Phone
(540) 293-0794
NPI assigned
Mar 20, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X D0093472 MD Primary

Addresses

Primary practice location

110 S. Paca Street, Sixth Floor, Suite 200, Baltimore,
Sixth Floor, Suite 200
Baltimore, MD 21201

Mailing address

110 S. Paca Street, Sixth Floor, Suite 200, Baltimore,
Sixth Floor, Suite 200
Baltimore, MD 21201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20220627001389 MD Practitioner - Emergency Medicine 5496087207 Reassigns benefits to 2 organizations
I20220729000835 DC Practitioner - Emergency Medicine 5496087207

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baltimore Washington Emergency Physicians, Inc.Group PAC ID 3577451103, 31 clinicians

Practice addresses (Care Compare)

22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-8025

301 Hospital Dr
Glen Burnie, MD 21061-5803
Phone (410) 787-4565

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0093472MDMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Chesapeake Emergency Medicine Physicians, LLC Emergency Medicine CurrentSince Jul 8, 2022 Accepting new patients
University of Maryland Emergency Medicine Associates, PA Emergency Medicine CurrentSince Jul 1, 2022 Accepting new patients
Baltimore Washington Emergency Physicians, Inc. Emergency Medicine CurrentSince Jul 31, 2023 Accepting new patients

Locations

821 N Eutaw St
Baltimore, MD 21201
Phone (410) 225-9185

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

15001 Health Center Dr
Bowie, MD 20716
Phone (301) 262-5511

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

Interoperability endpoints

  • Direct secure messaging: slovegrove539995@direct.umm.edu

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 1

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": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1114487840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S. PACA STREET, SIXTH FLOOR, SUITE 200, BALTIMORE,",
            "address_2": "SIXTH FLOOR, SUITE 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S. PACA STREET, SIXTH FLOOR, SUITE 200, BALTIMORE,",
            "address_2": "SIXTH FLOOR, SUITE 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21201",
            "telephone_number": "540-293-0794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVEGROVE",
        "first_name": "SPENCER",
        "middle_name": "SYKES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-20",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D0093472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.