Active NPI
Craig W Spellman, DO
- Endocrinology, Diabetes & Metabolism Physician
- Odessa, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- J2351
- Practice address
- 701 W 5TH St
Odessa, TX 79763-4206 - Phone
- (432) 703-5379
- Fax
- (432) 703-5972
- NPI assigned
- Apr 17, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | J2351 | TX | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | J2351 | TX | Primary |
Addresses
Primary practice location
701 W 5TH St
Odessa, TX 79763-4206
Mailing address
701 W 5TH St
Odessa, TX 79763-4206
Phone (432) 703-5379
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125474003 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070917000382 | TX | Practitioner - Endocrinology | 8729172168 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Texas Tech University Health Sciences Center Odessa
Practice addresses (Care Compare)
701 W 5TH St
Odessa, TX 79763-4206
Phone (432) 335-2222
Hospital & facility affiliations
- Medical Center Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.52 of 100
- Quality
- 87.98
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J2351 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Tech University Health Sciences Center Odessa | Internal Medicine | Current | Accepting new patients |
| University of North Texas Health Science Center at Fort Worth | Internal Medicine | Past | Accepting new patients |
Locations
1701 N Loop 250 W
Midland, TX 79707
Phone (432) 522-5033
301 N N St
Midland, TX 79701
Phone (432) 620-5800
701 W 5th St
Odessa, TX 79763
Phone (432) 335-2222
8050 E Highway 191
Ste 213
Odessa, TX 79765
Phone (432) 703-5379
8050 E Highway 191
Odessa, TX 79765
Phone (432) 337-5411
800 W 4th St
Odessa, TX 79763
Phone (915) 335-1421
701 W 5th St
Ste 3142
Odessa, TX 79763
Phone (432) 703-5299
701 W 5th St
#3142
Odessa, TX 79763
Phone (432) 335-2222
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Odessa, TX
- NPI 1407845084
Internal Medicine, TX
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1033181078
Internal Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Federally Qualified Health Center (FQHC)
- Odessa, TX
- NPI 1578265302
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612396800000",
"number": "1174587935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 W 5TH ST",
"city": "ODESSA",
"state": "TX",
"postal_code": "797634206",
"telephone_number": "432-703-5379",
"fax_number": "432-703-5972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 W 5TH ST",
"city": "ODESSA",
"state": "TX",
"postal_code": "797634206",
"telephone_number": "432-703-5379",
"fax_number": "432-703-5972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPELLMAN",
"first_name": "CRAIG",
"middle_name": "W",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-17",
"last_updated": "2021-02-04",
"certification_date": "2021-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "J2351",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "TX",
"license": "J2351",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "125474003",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.