Individual provider Active NPI

Blake A. Spindler, MD

  • Colon & Rectal Surgery Physician
  • Huntsville, AL
National Provider Identifier
1205198264
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
MD.37402 Issued in AL
Practice address
115 Manning Dr SW Ste D101
Huntsville, AL 35801-4341
Phone
(256) 533-6070
Fax
(256) 533-9374
NPI assigned
Jun 14, 2012
Last updated
Apr 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD.37402 AL
Colon & Rectal Surgery Physician 208C00000X MD.37402 AL Primary

Addresses

Primary practice location

115 Manning Dr SW Ste D101
Huntsville, AL 35801-4341

Mailing address

3015 Lake Hampton Dr SE
Owens Cross Roads, AL 35763-8421
Phone (507) 284-2511

Other identifiers 1

IdentifierTypeStateIssuer
221060MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20180914002178 AL Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 3173769965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinic for Colon and Rectal Surgery, P.a.Group PAC ID 4082654280, 5 clinicians

Practice addresses (Care Compare)

115 Manning Dr SW
Suite D101
Huntsville, AL 35801-4341
Phone (256) 533-6070

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.24 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
77.47

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy128

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinic for Colon & Rectal Surgery, P.a. Colon & Rectal Surgery CurrentSince Sep 4, 2018 Accepting new patients

Locations

115 Manning Dr SW
Ste D101
Huntsville, AL 35801
Phone (256) 533-6070

Interoperability endpoints

  • Direct secure messaging: bspindler@ccrs.gwaydirect.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1205198264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 LAKE HAMPTON DR SE",
            "city": "OWENS CROSS ROADS",
            "state": "AL",
            "postal_code": "357638421",
            "telephone_number": "507-284-2511",
            "fax_number": "256-533-4937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MANNING DR SW STE D101",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014341",
            "telephone_number": "256-533-6070",
            "fax_number": "256-533-9374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPINDLER",
        "first_name": "BLAKE",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-14",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "MD.37402",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "AL",
            "license": "MD.37402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "221060",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.