Individual provider Active NPI

Marissa Spino, DO

  • Anatomic Pathology & Clinical Pathology Physician
  • Indianapolis, IN
National Provider Identifier
1295185247
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
DR.0071145 Issued in CO
Practice address
350 W 11TH St
Indianapolis, IN 46202-4108
Phone
(317) 491-6000
Fax
(317) 491-6534
NPI assigned
Jun 20, 2016
Last updated
Mar 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X DR.0071145 CO Primary
Neuropathology Physician 207ZN0500X 02008087A IN

Addresses

Primary practice location

350 W 11TH St
Indianapolis, IN 46202-4108

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959
Phone (317) 963-9328

Other practice location 1

11600 W 2nd Pl
Lakewood, CO 80228-1527
Phone (720) 321-0000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mspinokeeton@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, GA, CA, TX, NV, UT6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20230703001590 CO Practitioner - Pathology 2163881566 Reassigns benefits to 2 organizations
I20250115000210 GA Practitioner - Pathology 2163881566 Reassigns benefits to 1 organization
I20250408001702 CA Practitioner - Pathology 2163881566 Reassigns benefits to 1 organization
I20250715002456 TX Practitioner - Pathology 2163881566 Reassigns benefits to 1 organization
I20260213002494 NV Practitioner - Pathology 2163881566 Reassigns benefits to 1 organization
I20260213003449 UT Practitioner - Pathology 2163881566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Philadelphia College of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathology Experts IncGroup PAC ID 6204202138, 13 clinicians

Practice addresses (Care Compare)

1380 E Medical Ctr Dr
St George, UT 84790-2123
Phone (435) 251-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.8 of 100Reported as group
Quality
85
Improvement activities
40
Cost
76.83

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Family Physicians, Inc. CurrentSince Oct 3, 2024 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Jan 1, 2025 Accepting new patients
Apex Pathology P.C. Anatomic Pathology & Clinical Pathology CurrentSince Jun 1, 2023 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Jan 1, 2025 Accepting new patients
Texas Childrens Hospital Anatomic Pathology & Clinical Pathology CurrentSince Feb 10, 2025 Accepting new patients
Marin Medical Laboratories Anatomic Pathology & Clinical Pathology CurrentSince Mar 1, 2025 Accepting new patients
Osmond Pathology PC Anatomic Pathology & Clinical Pathology CurrentSince Feb 1, 2026 Accepting new patients
Marin Medical Laboratories Anatomic Pathology & Clinical Pathology Current Accepting new patients
Texas Childrens Hospital Neuropathology Current Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Mountain States Pathology PC Anatomic Pathology & Clinical Pathology CurrentSince Jan 1, 2024 Accepting new patients
University Family Physicians, Inc. CurrentSince Oct 3, 2024 Accepting new patients
Pathology Experts Inc Anatomic Pathology & Clinical Pathology CurrentSince Jan 1, 2026 Accepting new patients
Mountain States Pathology PC Anatomic Pathology & Clinical Pathology CurrentSince Jan 1, 2024 Accepting new patients
Apex Pathology P.C. Anatomic Pathology & Clinical Pathology CurrentSince Jun 1, 2023 Accepting new patients
Apex Pathology P.C. Anatomic Pathology & Clinical Pathology Current Accepting new patients
Marin Medical Laboratories Anatomic Pathology & Clinical Pathology Past Accepting new patients
Texas Childrens Hospital Neuropathology Past Accepting new patients

Locations

2700 Dolbeer St
Eureka, CA 95501
Phone (707) 269-4229

250 Bon Air Rd
Kentfield, CA 94904
Phone (415) 464-1350

347 Andrieux St
Sonoma, CA 95476
Phone (707) 935-5000

2222 N Nevada Ave
Colorado Springs, CO 80907
Phone (719) 776-5333

1000 Lincoln St
Fort Morgan, CO 80701
Phone (970) 542-3320

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

100 Health Park Dr
Louisville, CO 80027
Phone (303) 673-1000

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

7216 Solutions Ctr
Chicago, IL 60677

1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

350 W 11th St
Indianapolis, IN 46202
Phone (317) 274-2476

1299 Bertha Howe Ave
Mesquite, NV 89027
Phone (702) 345-4270

5700 Southwyck Blvd
Toledo, OH 43614

18200 Katy Fwy
Houston, TX 77094
Phone (832) 227-1000

6621 Fannin St
Houston, TX 77030
Phone (832) 824-1866

6621 Fannin St
Ste WB1100
Houston, TX 77030
Phone (832) 824-6422

17600 Interstate 45 S
Ste WL270
The Woodlands, TX 77384
Phone (936) 267-5000

6651 Main St
Va Hospital, TX 77030
Phone (832) 826-3000

1303 N Main St
Cedar City, UT 84721
Phone (435) 586-2229

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

Organizations & group practices 18

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 18

Hospital & facility affiliations 1

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": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1295185247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959",
            "telephone_number": "317-963-9328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W 11TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462024108",
            "telephone_number": "317-491-6000",
            "fax_number": "317-491-6534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11600 W 2nd Pl",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802281527",
            "country_code": "US",
            "telephone_number": "720-321-0000",
            "fax_number": "419-866-5453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPINO",
        "first_name": "MARISSA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CO",
            "license": "DR.0071145",
            "primary": true
        },
        {
            "code": "207ZN0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Neuropathology",
            "state": "IN",
            "license": "02008087A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mspinokeeton@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "350 W 11th St",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462024108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.