Individual provider Active NPI

Craig W Spellman, DO

  • Endocrinology, Diabetes & Metabolism Physician
  • Odessa, TX
National Provider Identifier
1174587935
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
J2351 Issued in TX
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

Updated by the provider on Feb 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
125474003MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070917000382 TX Practitioner - EndocrinologyPractitioner - Internal Medicine 8729172168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Tech University Health Sciences Center Odessa 58 clinicians

Practice addresses (Care Compare)

701 W 5TH St
Odessa, TX 79763-4206
Phone (432) 335-2222

Hospital & facility affiliations

  • Medical Center Hospital Hospital, Odessa, TX, CCN 450132

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
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

LicenseStateTypeSpecialty
J2351TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.