Individual provider Active NPI

Michael John Spina, M.D.

  • Diagnostic Radiology Physician
  • Newark, DE
National Provider Identifier
1194927160
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2085R0202X Issued in DE
Practice address
4755 Ogletown-Stanton Rd
Room 2A00
Newark, DE 19718-0001
Phone
(302) 733-1041
NPI assigned
Jun 1, 2007
Last updated
May 23, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD446176 PA
Diagnostic Radiology Physician 2085R0202X 2085R0202X DE Primary

Addresses

Primary practice location

4755 Ogletown-Stanton Rd
Room 2A00
Newark, DE 19718-0001

Mailing address

200 Hygeia Dr Ste 2300
Newark, DE 19713-2049

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, PA2 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
I20140616000556 DE Practitioner - Diagnostic Radiology 6406095702 Reassigns benefits to 2 organizations
I20140701000208 PA Practitioner - Diagnostic Radiology 6406095702 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Jefferson Medical College of Thomas Jefferson University, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians
Medical Imaging of Lehigh Valley PCGroup PAC ID 1557265212, 115 clinicians

Practice addresses (Care Compare)

1109 Grosser Rd
LVPG Emergency Medicine Gilbertsville
Gilbertsville, PA 19525-9228
Phone (484) 498-6060

1200 S Cedar Crest Blvd
Allentown, PA 18103-6202
Phone (610) 770-1606

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2085R0202XDEMDDiagnostic Radiology Physician
MD446176PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services Inc CurrentSince Jul 1, 2014 Accepting new patients
Medical Imaging of Lehigh Valley PC Diagnostic Radiology CurrentSince Sep 1, 2019 Accepting new patients
Lehigh Valley Hospital Diagnostic Radiology CurrentSince Aug 8, 2023 Accepting new patients
Lehigh Valley Physician Group CurrentSince Oct 1, 2025 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Christiana Care Health Services Inc Current Accepting new patients
Lehigh Valley Physician Group Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Jul 1, 2014 Accepting new patients
Christiana Care Health Services Inc Diagnostic Radiology CurrentSince Jul 1, 2014 Accepting new patients
Christiana Care Health Services Inc Diagnostic Radiology CurrentSince Jul 1, 2014 Accepting new patients
Scranton Hospitalist Physician Services LLC Diagnostic Radiology PastSince May 7, 2025 Accepting new patients
Lehigh Valley Hospital Past Accepting new patients

Locations (25 of 56)

200 Hygeia Dr
Ste 2300
Newark, DE 19713
Phone (302) 623-7362

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

4755 Ogletownstanton Rd
Newark, DE 19718
Phone (302) 733-6510

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

1200 S Cedar Crest Blvd
Allentown, PA 18103
Phone (484) 862-3200

1220 S Cedar Crest Blvd
Allentown, PA 18103
Phone (610) 740-0400

1230 S Cedar Crest Blvd
Ste 103
Allentown, PA 18103
Phone (610) 402-4691

1230 S Cedar Crest Blvd
Ste 104
Allentown, PA 18103
Phone (610) 402-4237

1230 S Cedar Crest Blvd
Ste 202
Allentown, PA 18103
Phone (610) 402-4691

1240 S Cedar Crest Blvd
Ste 203
Allentown, PA 18103
Phone (610) 402-0690

1243 S Cedar Crest Blvd
Allentown, PA 18103
Phone (610) 402-9230

1247 S Cedar Crest Blvd
Ste 102
Allentown, PA 18103
Phone (610) 402-1022

1250 S Cedar Crest Blvd
Ste 100
Allentown, PA 18103
Phone (610) 435-1600

1255 S Cedar Crest Blvd
Ste 2500
Allentown, PA 18103
Phone 6103724957550

1255 S Cedar Crest Blvd
Ste 2600
Allentown, PA 18103

4815 W Tilghman St
Allentown, PA 18104
Phone (610) 402-3903

798 Hausman Rd
Allentown, PA 18104
Phone (610) 402-9680

6649 Chrisphalt Dr
Bath, PA 18014
Phone (610) 837-3181

1770 Bathgate Rd
Ste 100
Bethlehem, PA 18017
Phone (484) 884-1032

1770 Bathgate Rd
Ste 200
Bethlehem, PA 18017
Phone (484) 884-2249

2101 Emrick Blvd
Bethlehem, PA 18020
Phone (484) 895-3300

2545 Schoenersville Rd
Bethlehem, PA 18017
Phone (484) 884-2888

2597 Schoenersville Rd
Ste 202
Bethlehem, PA 18017
Phone (484) 884-2460

5683 Route 115
Blakeslee, PA 18610
Phone (570) 355-7100

120 Burrus Blvd
Brodheadsville, PA 18322
Phone (570) 402-6101

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 11

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": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1194927160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HYGEIA DR STE 2300",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 OGLETOWN-STANTON RD",
            "address_2": "ROOM 2A00",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197180001",
            "telephone_number": "302-733-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPINA",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD446176",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DE",
            "license": "2085R0202X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.