Individual provider Active NPI

Marcelo Spector, MD

  • Vascular & Interventional Radiology Physician
  • New Haven, CT
National Provider Identifier
1558342139
Registry record updated Feb 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
042148 Issued in CT
Practice address
800 Howard Ave
Yale Physicians Building
New Haven, CT 06519-1369
Phone
(203) 785-2140
Fax
(203) 785-6414
NPI assigned
Nov 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 042148 CT
Vascular & Interventional Radiology Physician 2085R0204X 042148 CT Primary

Addresses

Primary practice location

800 Howard Ave
Yale Physicians Building
New Haven, CT 06519-1369

Mailing address

10 W 66TH St
20D
New York, NY 10023-6206
Phone (212) 877-1929

Other identifiers 1

IdentifierTypeStateIssuer
001421487MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI, FL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20090122000124 CA Practitioner - Diagnostic Radiology 8921059056 Reassigns benefits to 4 organizations
I20180926001950 HI Practitioner - Diagnostic Radiology 8921059056 Reassigns benefits to 1 organization
I20250408003402 FL Practitioner - Diagnostic Radiology 8921059056 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Golden State Imaging Associates IncGroup PAC ID 1254761315, 242 clinicians
Renaissance Imaging Medical Associates IncGroup PAC ID 7315841756, 126 clinicians
Silicon Valley Diagnostic Imaging IncGroup PAC ID 5496838518, 78 clinicians

Practice addresses (Care Compare)

10013 Rossbury PL
Los Angeles, CA 90064-4825
Phone (818) 639-2901

10275 Collins Ave
Apt 1201
Bal Harbour, FL 33154-1464
Phone (818) 435-1433

11740 Wilshire Blvd
Apt A1906
Los Angeles, CA 90025-6536
Phone (408) 866-4075

1318 La Faunce Way
Fort Myers, FL 33919-1629
Phone (818) 639-2901

15107 Vanowen St
Van Nuys, CA 91405-4542
Phone (818) 435-1433

1600 W Ave J
Lancaster, CA 93534-2814
Phone (818) 435-1433

16001 Collins Ave
Apt 1102
Sunny Isles Beach, FL 33160-5519
Phone (866) 579-1110

2 Dole Dr
Westlake Village, CA 91362-7300
Phone (818) 435-1433

221 Mahalani St
Wailuku, HI 96793-2526
Phone (818) 435-1433

44105 15TH W St
Suite 100
Lancaster, CA 93534-4088
Phone (818) 435-1433

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
El Camino Health Medical Network, LLC CurrentSince May 1, 2025 Accepting new patients
Renaissance Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince Jan 1, 2008 Accepting new patients
Antelope Valley Outpatient Imaging Center, LLC Diagnostic Radiology CurrentSince Apr 1, 2021 Accepting new patients
Golden State Imaging Associates Inc Diagnostic Radiology CurrentSince Jan 9, 2023 Accepting new patients
Silicon Valley Diagnostic Imaging, Inc. Diagnostic Radiology CurrentSince Feb 15, 2025 Accepting new patients
Quantum Medical Radiology of California, P.C. Diagnostic Radiology Past Accepting new patients
Riverside Radiology and Interventional Associates Inc Diagnostic Radiology Past Accepting new patients
El Camino Health Medical Group Past Accepting new patients
Rad Alliance, Inc. Past Accepting new patients
Moana Imaging Associates LLC Diagnostic Radiology PastSince Sep 1, 2019 Accepting new patients

Locations (25 of 34)

501 S Buena Vista St
Burbank, CA 91505
Phone (818) 783-0800

17100 Euclid St
Fountain Vly, CA 92708
Phone (714) 966-7200

17100 Euclid St
Ste 4004
Fountain Vly, CA 92708
Phone (714) 966-7200

47111 Monroe St
#1112
Indio, CA 92201

1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254

44105 15th St W
Ste 100
Lancaster, CA 93534
Phone (661) 726-6050

500 S Virgil Ave
Ste 102
Los Angeles, CA 90020
Phone (323) 375-3950

1245 Wilshire Blvd
Ste 205
Los Angeles, CA 90017
Phone (213) 202-7067

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

301 Science Dr
Ste 150
Moorpark, CA 93021
Phone (805) 855-7000

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

2400 E 4th St
National City, CA 91950
Phone (619) 470-4141

18300 Roscoe Blvd
Northridge, CA 91325
Phone (818) 885-5331

18436 Roscoe Blvd
Northridge, CA 91325
Phone (805) 577-2012

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

38600 Medical Center Dr
Palmdale, CA 93551
Phone (661) 382-5000

1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616

3865 Jackson St
Riverside, CA 92503
Phone (909) 688-2211

625 Lincoln Ave
San Jose, CA 95126
Phone (408) 278-3003

828 S Winchester Blvd
San Jose, CA 95128
Phone (408) 866-4000

6001 Norris Canyon Rd
San Ramon, CA 94583
Phone (925) 275-8273

825 N 10th St
Santa Paula, CA 93060
Phone (805) 933-8600

501 Petaluma Ave
Sebastopol, CA 95472
Phone (707) 823-8511

2750 Sycamore Dr
Simi Valley, CA 93065
Phone (805) 955-6000

124 Macaw Ln
Simi Valley, CA 93065
Phone (805) 306-0304

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 10

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 6

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": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233619200000",
    "number": "1558342139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W 66TH ST",
            "address_2": "20D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100236206",
            "telephone_number": "212-877-1929",
            "fax_number": "203-785-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 HOWARD AVE",
            "address_2": "YALE PHYSICIANS BUILDING",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065191369",
            "telephone_number": "203-785-2140",
            "fax_number": "203-785-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPECTOR",
        "first_name": "MARCELO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2009-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "042148",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CT",
            "license": "042148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001421487",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.