Individual provider Active NPI

Alan L Spielberg, M.D.

  • Gastroenterology Physician
  • Smithtown, NY
National Provider Identifier
1164554622
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
125-422-1 Issued in NY
Practice address
48 Route 25a
Suite 203
Smithtown, NY 11787-1431
Phone
(631) 724-1178
Fax
(631) 724-5764
NPI assigned
Mar 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 125-422-1 NY Primary

Addresses

Primary practice location

48 Route 25a
Suite 203
Smithtown, NY 11787-1431

Mailing address

48 Route 25a
Suite 203
Smithtown, NY 11787-1431
Phone (631) 724-1178

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20071201000089 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 1254420052

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
28.55 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
95.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125-422-1NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Marianne Hendrix MD PC PastSince Nov 14, 2012 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: alan.spielberg@alanspielberg.ehi.direct-ci.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164554622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 ROUTE 25A",
            "address_2": "SUITE 203",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117871431",
            "telephone_number": "631-724-1178",
            "fax_number": "631-724-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 ROUTE 25A",
            "address_2": "SUITE 203",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117871431",
            "telephone_number": "631-724-1178",
            "fax_number": "631-724-5764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIELBERG",
        "first_name": "ALAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "125-422-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

Verify at the official NPI Registry.