Active NPI
George Spivack, M.D.
- Cardiovascular Disease Physician
- Wallingford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 27399
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1273994 | Medicaid | CT |
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
Enrollment records 1
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
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
- Hartford Hospital
- Yale-New Haven Hospital
- Midstate Medical Center
- Middlesex Hospital
- Griffin Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.49 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 27399 | CT | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Masonicare Health Center | Current | Accepting new patients | |
| Masonicare Health Center | Current | Accepting new patients | |
| Hartford Hospital | Current | Accepting new patients | |
| Midstate Medical Center | Current | Accepting new patients | |
| Hartford Pathology Associates, P.C. | Current | Accepting new patients | |
| Consulting Cardiologists, P.C. | Cardiovascular Disease | Current | Accepting new patients |
| Hartford Hospital | Current | Accepting new patients | |
| Connecticut Heart Physicians, Inc. | Cardiovascular Disease | Current | Accepting new patients |
| Midstate Medical Center | Current | Accepting new patients | |
| Gaylord Hospital, Inc. | Current | 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
- george.spivack@xdr.hhchealthdirect.org
- 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.
-
- Cardiovascular Disease Physician
- Hartford, CT
- NPI 1053353656
-
- Surgery Physician
- Hartford, CT
- NPI 1407806391
-
- General Acute Care Hospital
- Meriden, CT
- NPI 1154425288
-
- Cardiovascular Disease Physician
- Windsor, CT
- NPI 1477588002
-
- Ambulatory Surgical Clinic/Center
- Wallingford, CT
- NPI 1588638688
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- Anatomic Pathology & Clinical Pathology Physician
- Hartford, CT
- NPI 1063464477
-
- Psychiatric Hospital
- Wallingford, CT
- NPI 1174516041
-
- Psychiatric Hospital Unit
- Meriden, CT
- NPI 1316022718
-
- General Acute Care Hospital
- Meriden, CT
- NPI 1427007848
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1902834880
-
- General Acute Care Hospital
- Middletown, CT
- NPI 1760454334
-
- General Acute Care Hospital
- Meriden, CT
- NPI 1427007848
-
- General Acute Care Hospital
- Meriden, CT
- NPI 1669524187
-
- General Acute Care Hospital
- Derby, CT
- NPI 1184639973
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1336139500
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1578778726
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.