Individual provider Active NPI

Michael Spadola

  • Neurological Surgery Physician
  • Philadelphia, PA
National Provider Identifier
1265966527
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
25MA11479700 Issued in NJ
Practice address
3400 Spruce St
3 Silverstein
Philadelphia, PA 19104-4238
Phone
(215) 615-4390
NPI assigned
Apr 13, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 25MA11479700 NJ Primary

Addresses

Primary practice location

3400 Spruce St
3 Silverstein
Philadelphia, PA 19104-4238

Mailing address

559 Big Egypt Rd
Bushkill, PA 18324-7705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 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
I20240521004666 PA Practitioner - Neurosurgery 4385086446 Reassigns benefits to 1 organization
I20240716001265 NJ Practitioner - Neurosurgery 4385086446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Perelman School of Med at the University of Pennsylvania, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shore Specialty ConsultantsGroup PAC ID 1951613652, 42 clinicians
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

155 Medical Ctr Way
FL 3
Somers Point, NJ 08244-2306
Phone (609) 365-6239

3400 Civic Ctr Blvd
Philadelphia, PA 19104-5127
Phone (215) 662-3487

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion97
Laminectomy or laminotomy (partial removal of spine bones)46

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shore Specialty Consultants CurrentSince Jul 1, 2024 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
University of Penn-Medical Group CurrentSince Jul 1, 2024 Accepting new patients
University of Penn-Medical Group CurrentSince Jul 1, 2024 Accepting new patients
University of Penn - Medical Group Past Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. Past Accepting new patients

Locations

4 W Roosevelt Blvd
Marmora, NJ 08223
Phone (609) 365-6202

4450 Black Horse Pike
Unit 3972A
Mays Landing, NJ 08330

4450 Black Horse Pike
Ste 3972
Mays Landing, NJ 08330
Phone (609) 365-6217

155 Medical Center Way
#3
Somers Point, NJ 08244

155 Medical Center Way
Fl 3
Somers Point, NJ 08244
Phone (609) 365-6239

501 S 54th St
Philadelphia, PA 19143
Phone (215) 581-2046

235 S 8th St
Philadelphia, PA 19106
Phone (215) 543-2770

801 Spruce St
Fl 3
Philadelphia, PA 19107
Phone (215) 627-5272

3400 Civic Center Blvd
Fl 2
Philadelphia, PA 19104

3400 Spruce St
Fl 3
Philadelphia, PA 19104

3400 Convention Ave
Philadelphia, PA 19104
Phone (215) 662-2300

Interoperability endpoints

  • Direct secure messaging: michael.spadola.1@4024.direct.athenahealth.com

Organizations & group practices 6

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 3

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": "1492041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1265966527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 BIG EGYPT RD",
            "city": "BUSHKILL",
            "state": "PA",
            "postal_code": "183247705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "address_2": "3 SILVERSTEIN",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044238",
            "telephone_number": "215-615-4390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPADOLA",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-13",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NJ",
            "license": "25MA11479700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.