Active NPI
David Allen Spak, MD
- Diagnostic Radiology Physician
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD61176199
- Practice address
- 800 W 5TH Ave
Spokane, WA 99204-2803 - Phone
- (509) 458-5800
- Fax
- (509) 473-7511
- NPI assigned
- Apr 11, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | R7901 | TX | |
| Diagnostic Radiology Physician | 2085R0202X | M-15934 | ID | |
| Diagnostic Radiology Physician | 2085R0202X | MD61176199 | WA | Primary |
Addresses
Primary practice location
800 W 5TH Ave
Spokane, WA 99204-2803
Mailing address
19020 33Rd Ave W Ste 210
Lynnwood, WA 98036-4748
Phone (425) 563-1500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 389378601 | Medicaid | TX | |
| 2189192 | Medicaid | WA | |
| 389378602 | Other | TX | OTHER (MEDICAID CSHCN) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, WA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Texas Medical School at Houston, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 W 8TH Ave
Spokane, WA 99204-2307
Phone (509) 363-7745
1593 E Polston Ave
Post Falls, ID 83854-5326
Phone (208) 262-2300
2801 St Anthony Way
Pendleton, OR 97801-3800
Phone (541) 276-5121
3417 Ensign Rd NE
Olympia, WA 98506-5064
Phone (360) 493-4600
4410 106TH St SW
Mukilteo, WA 98275-4700
Phone (425) 493-6000
525 S Cowley St
Spokane, WA 99202-1381
Phone (509) 747-4455
747 Broadway
Seattle, WA 98122-4379
Phone (206) 386-6000
Hospital & facility affiliations
- Northwest Specialty Hospital
- Lincoln Hospital
- Providence Mount Carmel Hospital
- Swedish Medical Center
- Newport Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-15934 | ID | MD | Diagnostic Radiology Physician |
| MD61176199 | WA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swedish Radia Imaging Center at Edmonds LLC | Diagnostic Radiology | Current | Accepting new patients |
| South Sound Radiologists Inc P S | Diagnostic Radiology | Current | Accepting new patients |
| Swedish Health Services | Current | Accepting new patients | |
| Radia Inc P S | Diagnostic Radiology | Current | Accepting new patients |
| Optum Care Washington PLLC | Current | Accepting new patients | |
| Optum Care Washington PLLC | Current | Accepting new patients | |
| Radia Oregon Radiology Medical Group LLC | Diagnostic Radiology | Current | Accepting new patients |
| Swedish Health Services | Current | Accepting new patients | |
| Evergreen Radia LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radia Imaging Center Holdings LLC | Diagnostic Radiology | Current | Accepting new patients |
| Swedish Health Services | Current | Accepting new patients |
Locations
1593 E Polston Ave
Post Falls, ID 83854
Phone (208) 262-2300
1200 112th Ave NE
Ste B250
Bellevue, WA 98004
Phone (206) 386-6266
7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800
21700 Highway 99
Edmonds, WA 98026
Phone (425) 640-4949
1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903
13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700
125 130th St SE
Everett, WA 98208
Phone (425) 341-4800
5708 E Lake Sammamish Pkwy SE
Issaquah, WA 98029
Phone (425) 688-5488
11521 NE 128th St
Ste 200
Kirkland, WA 98034
Phone (425) 952-6100
12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000
19020 33rd Ave W
Ste 210
Lynnwood, WA 98036
Phone 42556315001
1025 153rd St SE
Ste 200
Mill Creek, WA 98012
Phone (425) 338-4000
4410 106th St SW
Mukilteo, WA 98275
Phone (206) 388-6000
3417 Ensign Rd NE
Olympia, WA 98506
Phone (360) 493-4600
18100 NE Union Hill Rd
Redmond, WA 98052
Phone (425) 498-2020
515 Minor Ave
Ste 110
Seattle, WA 98104
Phone (206) 292-6233
747 Broadway
Seattle, WA 98122
Phone (360) 658-2488
500 17th Ave
Seattle, WA 98122
Phone (206) 320-2111
1229 Madison St
Ste 900
Seattle, WA 98104
Phone (206) 292-6233
1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299
800 W 5th Ave
Spokane, WA 99204
Phone (509) 458-5800
101 W 8th Ave
Spokane, WA 99204
Phone (509) 474-3181
1215 N McDonald Rd
Ste 101
Spokane Valley, WA 99216
Phone (509) 924-1950
4816 NE Thurston Way
Ste A
Vancouver, WA 98662
Phone (360) 254-4914
Organizations & group practices 14
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.
-
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1831186766
-
- Diagnostic Radiology Physician
- Olympia, WA
- NPI 1902990500
-
- Diagnostic Radiology Physician
- Kirkland, WA
- NPI 1922095694
-
- Diagnostic Radiology Physician
- Seattle, WA
- NPI 1639653017
-
- Body Imaging Physician
- Everett, WA
- NPI 1114356904
-
- Internal Medicine Physician
- Seattle, WA
- NPI 1689612954
-
- Diagnostic Radiology Physician
- Edmonds, WA
- NPI 1164494373
-
- Diagnostic Radiology Physician
- Medford, OR
- NPI 1073385423
WA
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Davenport, WA
- NPI 1841234598
-
- Critical Access Hospital
- Newport, WA
- NPI 1780778423
-
- Critical Access Hospital
- Colville, WA
- NPI 1003067679
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1306992151
-
- General Acute Care Hospital
- Post Falls, ID
- NPI 1104824739
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Post Falls, ID
- NPI 1649123589
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633305600000",
"number": "1124384474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19020 33RD AVE W STE 210",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980364748",
"telephone_number": "425-563-1500",
"fax_number": "425-563-1501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 W 5TH AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042803",
"telephone_number": "509-458-5800",
"fax_number": "509-473-7511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPAK",
"first_name": "DAVID",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-11",
"last_updated": "2021-10-04",
"certification_date": "2021-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "R7901",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "ID",
"license": "M-15934",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MD61176199",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "389378601",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2189192",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER (MEDICAID CSHCN)",
"identifier": "389378602",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.