NPIMap

Individual provider Active NPI

Linda Rebecca Spanagel, M.D.

  • Internal Medicine Physician
  • Shrewsbury, MA
National Provider Identifier
1528040649
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
74482 Issued in MA
Practice address
26 Julio Dr
Shrewsbury, MA 01545-3020
Phone
(508) 842-5594
Fax
(508) 842-0989
NPI assigned
Nov 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 74482 MA Primary

Addresses

Primary practice location

26 Julio Dr
Shrewsbury, MA 01545-3020

Mailing address

PO Box 415348 Turnpike Station
Boston, MA 02241-5348
Phone (800) 225-8885

Other identifiers 1

IdentifierTypeStateIssuer
3100162MedicaidMA

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Direct Messaging Address lspanagel333250@UmassMemorial.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050525001154 MA Practitioner - Internal Medicine 6608818018 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Rochester School of Medicine and Dentistry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians

Practice addresses (Care Compare)

26 Julio Dr
Shrewsbury, MA 01545-3020
Phone (508) 845-2323

Hospital & facility affiliations

  • Vna Care Network Home health agency, Worcester, MA, CCN 227098
  • Preferred Transitions Home Health Care Inc Home health agency, Milford, MA, CCN 227666
  • Umass Memorial Medical Center/University Campus Hospital, Worcester, MA, CCN 220163
  • Marlborough Hospital Hospital, Marlborough, MA, CCN 220049
  • St Vincent Hospital Hospital, Worcester, MA, CCN 220176
  • Umass Memorial Health - Harrington Hospital Hospital, Southbridge, MA, CCN 220019
  • Umass Memorial Healthalliance Hospitals Hospital, Leominster, MA, CCN 220001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
74482MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Umass Memorial Medical Group Inc Internal Medicine CurrentSince Aug 31, 2020 Accepting new patients
Saint Vincent Physician Services, Inc. Internal Medicine CurrentSince Dec 3, 2007 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Aug 31, 2020 Accepting new patients

Locations

26 Julio Dr
Shrewsbury, MA 01545
Phone (508) 842-5594

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

123 Summer St
#273
Worcester, MA 01608
Phone (508) 363-6327

Interoperability endpoints

  • Direct secure messaging: lspanagel333250@umassmemorial.direct-ci.com

Organizations & group practices 3

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 8

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": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1528040649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415348 TURNPIKE STATION",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022415348",
            "telephone_number": "800-225-8885",
            "fax_number": "508-334-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 JULIO DR",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015453020",
            "telephone_number": "508-842-5594",
            "fax_number": "508-842-0989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANAGEL",
        "first_name": "LINDA",
        "middle_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-15",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "74482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3100162",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "26 Julio Dr",
            "city": "Shrewsbury",
            "state": "MA",
            "country_code": "US",
            "postal_code": "015453020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lspanagel333250@UmassMemorial.direct-ci.com",
            "affiliation": "N",
            "address_1": "26 Julio Dr",
            "city": "Shrewsbury",
            "state": "MA",
            "country_code": "US",
            "postal_code": "015453020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shrewsbury, MA

Sources for this page

Verify at the official NPI Registry.