NPIMap

Organization Active NPI

Spine Capital, LLC

  • Neurological Surgery Physician
  • Gilbert, AZ
National Provider Identifier
1295447779
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
SPINE CAPITAL, LLC
Practice address
1757 E Baseline Rd Ste 131
Gilbert, AZ 85233-1534
Phone
(480) 999-5248
Fax
(480) 999-5285
NPI assigned
Dec 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Authorized official

Name
Dr. Robert Koffie, MD, PHD, MBANPI 1760744460
Title
Neurosurgeon, Ceo
Phone
(480) 999-5248

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

1757 E Baseline Rd Ste 131
Gilbert, AZ 85233-1534

Mailing address

1757 E Baseline Rd Ste 131
Gilbert, AZ 85233-1534
Phone (480) 999-5248

Other names 1

  • Spine Capital Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230317001960 AZ Part B Supplier - Clinic/Group Practice 6608240411 Receives reassigned benefits from 2 practitioners
Practice locations: Gilbert, AZ

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Spine Capital LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1671148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1295447779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1757 E BASELINE RD STE 131",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852331534",
            "telephone_number": "480-999-5248",
            "fax_number": "480-999-5285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1757 E BASELINE RD STE 131",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852331534",
            "telephone_number": "480-999-5248",
            "fax_number": "480-999-5285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE CAPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-16",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "KOFFIE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "NEUROSURGEON, CEO",
        "authorized_official_telephone_number": "480-999-5248",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD, MBA"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spine Capital",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Spine Capital",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.