Jill Spital, MD
Individual provider Active NPI Emergency Medicine Physician · Luling, TX
NPI 1679656334 · NPPES record last updated Sep 25, 2019
Key facts
- NPI
- 1679656334
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- R0660 (TX)
- Practice address
- 130 Hays St
Luling, TX 78648-3207 - Phone
- (830) 875-7049
- Fax
- (000) 000-0000
- NPI assigned
- Oct 23, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.62 of 100
- Quality
- 92.03
- Improvement activities
- 40
- Cost
- 85.07
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170509000598 | TX | Practitioner - Family Practice |
8224058599 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Travis County Emergency Physicians PA | Emergency Medicine | Current |
Accepting new patients |
| Victoria Emergency Partners LLC | Emergency Medicine | Current |
Accepting new patients |
| Emergency Medicine Services of TX, PLLC | Emergency Medicine | Past | Accepting new patients |
| Pukalani Family Practice, LLC | Past |
Accepting new patients |
Locations
7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305
1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845
2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779
6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000
1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050
1751 Crystal Falls Pkwy
Leander, TX 78641
Phone (512) 528-7000
130 Hays St
Luling, TX 78648
Phone (830) 875-7000
11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020
3011 W Loop 1604 N
San Antonio, TX 78251
Phone (726) 266-7081
1201 Hill Rd
Smithville, TX 78957
Phone (512) 237-5716
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JCBAAA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | R0660 | TX | Yes |
Addresses
Primary practice location
130 Hays St
Luling, TX 78648-3207
Mailing address
8129 Lake Mountain LN
Leander, TX 78641-7307
Phone (808) 344-1047
Other providers in Luling, TX
- Seton Family of Hospitals
- Seton Family of Hospitals
- Lisa Lynette Short I
- Eleah Marie Slovacek
- Deborah Rollert Smith
- Steve Spivey
- Tempest Neurology & Sleep Consultants PA
- The Comfort
- Titanium General Internal Medicine Medical Services PA
- Tri-County Clinical
All providers in Luling, TX · Emergency Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.