Individual provider Active NPI

George Spivack, M.D.

  • Cardiovascular Disease Physician
  • Wallingford, CT
National Provider Identifier
1720017049
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
27399 Issued in CT
Practice address
97 Barnes Rd
Wallingford, CT 06492-1885
Phone
(203) 284-3137
Fax
(203) 284-3130
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 27399 CT Primary

Addresses

Primary practice location

97 Barnes Rd
Wallingford, CT 06492-1885

Mailing address

97 Barnes Rd
Wallingford, CT 06492-1885
Phone (203) 284-3137

Other identifiers 1

IdentifierTypeStateIssuer
1273994MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20051107000061 CT Practitioner - Cardiovascular Disease (Cardiology) 9638082381 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
New York Medical College, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Consulting Cardiologists PCGroup PAC ID 7113916149, 23 clinicians
Midstate Medical CenterGroup PAC ID 7416840699, 187 clinicians
Hartford HospitalGroup PAC ID 2567366016, 1,040 clinicians

Practice addresses (Care Compare)

100 Simsbury Rd
Suite 202
Avon, CT 06001-3793
Phone (860) 522-0604

1062 Barnes Rd
Suite 300
Wallingford, CT 06492-2576
Phone (203) 265-9831

280 S Main St
FL 2
Cheshire, CT 06410-3112
Phone (203) 265-9831

305 Western Blvd
Suite 100
Glastonbury, CT 06033-4380
Phone (860) 522-0604

330 Washington St
Suite 220
Norwich, CT 06360-2700
Phone (203) 265-9831

435 Lewis Ave
Meriden, CT 06451-2101
Phone (203) 694-8200

80 Seymour St
Hartford, CT 06102-8000
Phone (860) 545-7500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.49 of 100Reported as individual
Quality
83.65
Promoting interoperability
100
Improvement activities
40
Cost
72.4

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27399CTMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Masonicare Health Center CurrentSince Jan 1, 2012 Accepting new patients
Masonicare Health Center CurrentSince Jan 1, 2012 Accepting new patients
Hartford Hospital CurrentSince Apr 1, 2025 Accepting new patients
Midstate Medical Center CurrentSince Apr 1, 2025 Accepting new patients
Hartford Pathology Associates, P.C. Current Accepting new patients
Consulting Cardiologists, P.C. Cardiovascular Disease CurrentSince Jan 1, 2019 Accepting new patients
Hartford Hospital CurrentSince Apr 1, 2025 Accepting new patients
Connecticut Heart Physicians, Inc. Cardiovascular Disease CurrentSince Jul 16, 2019 Accepting new patients
Midstate Medical Center CurrentSince Apr 1, 2025 Accepting new patients
Gaylord Hospital, Inc. CurrentSince Oct 18, 2011 Accepting new patients
Midstate Medical Center Current Accepting new patients

Locations

280 S Main St
Ste 205
Cheshire, CT 06410
Phone (203) 678-1050

80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249

85 Seymour St
Ste 719
Hartford, CT 06106
Phone (860) 249-9175

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

22 Masonic Ave
Wallingford, CT 06492
Phone (203) 284-3900

50 Gaylord Farm Rd
Wallingford, CT 06492
Phone (203) 679-3553

67 Masonic Ave
Ste 3100
Wallingford, CT 06492
Phone (203) 284-3144

1062 Barnes Rd
Ste 300
Wallingford, CT 06492
Phone (203) 265-9831

Interoperability endpoints

  • Direct secure messaging: george.spivack@xdr.hhchealthdirect.org
  • FHIR API: https://api.platform.athenahealth.com/6291/brand/1/csg/1/fhir/r4

Organizations & group practices 11

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 8

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1720017049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 BARNES RD",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064921885",
            "telephone_number": "203-284-3137",
            "fax_number": "203-284-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 BARNES RD",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064921885",
            "telephone_number": "203-284-3137",
            "fax_number": "203-284-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIVACK",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "27399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1273994",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, CT

Sources for this page

Verify at the official NPI Registry.