Spencer Barrett Tilley, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

104565 Issued in CA

Practice address

39225 State St
Fremont, CA 94538-1437

Phone

(510) 794-1990

Fax

(510) 794-1341

NPI assigned

Aug 29, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Family Practice

Education

University of Arkansas College of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Medical Associates of Fremont IncGroup PAC ID 4183777840, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amore Home Health Home health agency, Fremont, CA, CCN 059509
• Healthflex Home Health Services Home health agency, Oakland, CA, CCN 059551
• Washington Hospital Hospital, Fremont, CA, CCN 050195

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: btilley16924@hpmg.direct-ci.net

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.

• Medical Associates of Fremont, Inc

  • Gastroenterology Physician
  • Fremont, CA
  • NPI 1518115435
  Medicare reassignment Care Compare group NPD
• Hill Physicians Medical Group - PPO Program

  • Preferred Provider Organization
  • San Ramon, CA
  • NPI 1679011035
  NPD (past)

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

• Healthflex Home Health Services

  • Home Health Agency
  • Oakland, CA
  • NPI 1326399296
  Care Compare affiliation
• Next Level Home Health LLC

  • Home Health Agency
  • Fremont, CA
  • NPI 1316298938
  Care Compare affiliation
• Washington Township Hospital District

  • General Acute Care Hospital
  • Fremont, CA
  • NPI 1780614685
  Care Compare affiliation

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216166400000",
    "number": "1710171038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39225 STATE ST",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381437",
            "telephone_number": "510-794-1990",
            "fax_number": "510-794-1341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39225 STATE ST",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381437",
            "telephone_number": "510-794-1990",
            "fax_number": "510-794-1341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLEY",
        "first_name": "SPENCER",
        "middle_name": "BARRETT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-29",
        "last_updated": "2008-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "43954",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "104565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunna Thorkelsdottir
• Christopher Edward Thornton
• Chitra Thummarukudy
• Aushanay Lashaya Tidwell, CNA
• Tiffanie Tiet
• Subena Kaur Mahal Tilley, D.O.
• Tim Wang DDS, Inc
• Arthur J Ting, MEDICAL DOCTOR
• Salvador Tinoco Jaramillo
• Pamela Tint, PT, DPT

• Family Medicine Physician in Fremont, CA
• Providers in Fremont, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.