Individual provider Active NPI

Spencer Gregory Kuper, M.D.

  • Maternal & Fetal Medicine Physician
  • Newburgh, IN
National Provider Identifier
1699074237
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
01079619A Issued in IN
Practice address
4199 Gateway Blvd Ste 3100
Newburgh, IN 47630-7906
Phone
(812) 842-4550
NPI assigned
Mar 22, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 33952 AL
Maternal & Fetal Medicine Physician 207VM0101X 01079619A IN Primary

Addresses

Primary practice location

4199 Gateway Blvd Ste 3100
Newburgh, IN 47630-7906

Mailing address

PO Box 637273
Cincinnati, OH 45263-7273
Phone (812) 842-4550

Other identifiers 3

IdentifierTypeStateIssuer
300010740MedicaidIN
7100523980MedicaidKY
01079619AOtherININDIANA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, IN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20150622001717 AL Practitioner - Obstetrics/Gynecology 2567605728 Reassigns benefits to 1 organization
I20180302001910 IN Practitioner - Obstetrics/Gynecology 2567605728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of South Carolina School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Womens Hospital of Southern Indiana LLCGroup PAC ID 4183699432, 50 clinicians

Practice addresses (Care Compare)

4199 Gateway Blvd
Suite 3100
Newburgh, IN 47630-7906
Phone (812) 842-4200

Hospital & facility affiliations

  • The Women'S Hospital Hospital, Newburgh, IN, CCN 150149
  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Women'S Hospital of Southern Indiana, LLC Maternal & Fetal Medicine CurrentSince Aug 1, 2018 Accepting new patients
Deaconess Women'S Hospital of Southern Indiana, LLC Maternal & Fetal Medicine Current Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Jul 1, 2015 Accepting new patients
Deaconess Women'S Hospital of Southern Indiana, LLC Maternal & Fetal Medicine CurrentSince Aug 1, 2018 Accepting new patients
University of Alabama Health Services Foundation PC CurrentSince Jul 1, 2015 Accepting new patients
The Women'S Hospital Past Accepting new patients

Locations

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

4199 Gateway Blvd
Ste 3100
Newburgh, IN 47630
Phone (812) 842-4550

4199 Gateway Blvd
Newburgh, IN 47630
Phone (812) 842-4200

Interoperability endpoints

  • Direct secure messaging: skuper202357@direct.deaconess.com

Organizations & group practices 6

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 3

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": "1300752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1699074237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 637273",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452637273",
            "telephone_number": "812-842-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4199 GATEWAY BLVD STE 3100",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476307906",
            "telephone_number": "812-842-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPER",
        "first_name": "SPENCER",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-22",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "AL",
            "license": "33952",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "IN",
            "license": "01079619A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300010740",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100523980",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA LICENSE",
            "identifier": "01079619A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

Verify at the official NPI Registry.