Jack W Spitzberg, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

E4085 Issued in TX

Practice address

8440 Walnut Hill LN Ste 400
Dallas, TX 75231-3879

Phone

(214) 369-3613

Fax

(214) 369-6042

NPI assigned

Jul 19, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Specialty

Cardiovascular Disease (Cardiology)Also: Internal Medicine

Education

Columbia University College of Physicians and Surgeons, 1968

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Texas Health Presbyterian Hospital Dallas Hospital, Dallas, TX, CCN 450462
• Texas Health Presbyterian Hospital Rockwall Hospital, Rockwall, TX, CCN 670044

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jspitzberg25995@direct.texashealth.org

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.

• Texas Health Physicians Group

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1174573596

  Cardiovascular Disease

  Medicare reassignment Care Compare group NPD (past)
• Texas Health Physicians Group

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1053767897

  Cardiovascular Disease

  NPD
• Texas Health Physicians Group

  • Sleep Disorder Diagnostic Clinic/Center
  • Fort Worth, TX
  • NPI 1114395969
  NPD
• Texas Health Physicians Group

  • Sleep Disorder Diagnostic Clinic/Center
  • Dallas, TX
  • NPI 1174992051
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Michael Allison, M.D.

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1336144724

  Hospital

  Care Compare affiliation
• Renato Victor Bosita, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Plano, TX
  • NPI 1184663163

  Hospital

  Care Compare affiliation
• Albert C Broders III, MD

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1699721415

  Hospital

  Care Compare affiliation
• Clinton Ray Brunson, M.D.

  • Diagnostic Radiology Physician
  • Palestine, TX
  • NPI 1942252267

  Hospital

  Care Compare affiliation
• Allan Odell Cook Jr., M.D.

  • Vascular Surgery Physician
  • Richardson, TX
  • NPI 1902842008

  Hospital

  Care Compare affiliation
• Bobby Huynh, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Richardson, TX
  • NPI 1114035383

  Hospital

  Care Compare affiliation
• Teresa D Kowalczyk, MD

  • Gynecology Physician
  • Greenville, TX
  • NPI 1538170261

  Hospital

  Care Compare affiliation
• Rockwall Regional Hospital, LLC

  • General Acute Care Hospital
  • Rockwall, TX
  • NPI 1629138029
  Care Compare affiliation
• Fayez G Seif, MD

  • Gastroenterology Physician
  • Mesquite, TX
  • NPI 1861591604

  Hospital

  Care Compare affiliation
• Texas Health Presbyterian Hospital Dallas

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1396779948
  Care Compare affiliation
• Johnny Lee White Jr., MD

  • Interventional Pain Medicine Physician
  • Odessa, TX
  • NPI 1336252477

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645228800000",
    "number": "1619976966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8440 WALNUT HILL LN STE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313879",
            "telephone_number": "214-369-3613",
            "fax_number": "214-369-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8440 WALNUT HILL LN STE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313879",
            "telephone_number": "214-369-3613",
            "fax_number": "214-369-6042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPITZBERG",
        "first_name": "JACK",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2022-02-19",
        "certification_date": "2022-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "E4085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116656301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "110044853",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "060036467",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116656303",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00044329",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "80A132",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jspitzberg25995@Direct.TexasHealth.org",
            "affiliation": "N",
            "address_1": "8440 Walnut Hill Ln Ste 400",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752313879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Spiris Group LLC
• Spiris Group LLC
• Kimberly Anne Spirrison
• Spisurg LLC
• Sarah Elizabeth Spitz, FNP
• Lauren Spivack, LMFT
• Braeden Ryan Spivey
• Dara Breanne Spivey, CP, LP
• James Alan Spivey, CRNA
• Jennifer L Spivey, MA, MS, LPC, MT-BC

• Cardiovascular Disease Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.