Individual provider Active NPI

Samuel Spitalewitz, MD

  • Nephrology Physician
  • Brooklyn, NY
National Provider Identifier
1790760007
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
127445 Issued in NY
Practice address
1 Brookdale PLZ
Room 169CHC
Brooklyn, NY 11212-3139
Phone
(718) 240-5615
Fax
(718) 485-4064
NPI assigned
Dec 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 127445 NY Primary

Addresses

Primary practice location

1 Brookdale PLZ
Room 169CHC
Brooklyn, NY 11212-3139

Mailing address

1 Brookdale PLZ
Room 169CHC
Brooklyn, NY 11212-3139
Phone (718) 240-5615

Other identifiers 19

IdentifierTypeStateIssuer
45A731OtherNYMEDICARE PTAN
5691218OtherNYAETNA US HEALTHCARE-PPO
0083755OtherNYGHI
127445OtherNYHIP
127445-A41OtherNY1199 NBF
27N013OtherNYNEIGHBORHOOD HEALTH PRO
3399807OtherNYGHI
5958371-003OtherNYCIGNA SENIORS
5958371-002OtherNYCIGNA REGULAR
000012801OtherNYAMERICHOICE
00639712MedicaidNY
127445-B41OtherNY1199 NBF
10988OtherNYELDERPLAN
14-32336OtherNYUNITED HEALTHCARE
6X6611OtherNYEMPIRE BC/BS
0582172OtherNYAETNA US HEALTHCARE
P2085137OtherNYOXFORD
2348380OtherNYAETNA US HEALTHCARE-HMO
KS486OtherNYOXFORD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040622001741 NY Practitioner - NephrologyPractitioner - Internal Medicine 2466437587 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
New York University School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interfaith Professional Physician Services PCGroup PAC ID 9931378171, 383 clinicians

Practice addresses (Care Compare)

1 Brookdale PLZ
Brooklyn, NY 11212-3198

1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone (718) 613-4000

Hospital & facility affiliations

  • Rogosin at Brookdale Hospital Dialysis facility, Brooklyn, NY, CCN 332581
  • Brookdale Hospital Medical Center Hospital, Brooklyn, NY, CCN 330233

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Interfaith Emergency Medicine, P.C. Current Accepting new patients
Brookdale Hospital Medical Center CurrentSince Mar 6, 2011 Accepting new patients
Interfaith Professional Physician Services, P.C. CurrentSince Apr 1, 2024 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Mar 6, 2011 Accepting new patients
Kidney Care Associates, PLLC Nephrology PastSince Jul 1, 2006 Accepting new patients

Locations

1 Brookdale Plz
Rm 169
Brooklyn, NY 11212
Phone (718) 240-5615

1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212

9701 Church Ave
Rm 101
Brooklyn, NY 11212
Phone (718) 240-5615

1 Brookdale Plz
Rm 169CHC
Brooklyn, NY 11212
Phone (718) 240-5615

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

1 Brookdale Plz
#169
Brooklyn, NY 11212
Phone (718) 240-5615

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 5

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 5

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": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1790760007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BROOKDALE PLZ",
            "address_2": "ROOM 169CHC",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112123139",
            "telephone_number": "718-240-5615",
            "fax_number": "718-485-4064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BROOKDALE PLZ",
            "address_2": "ROOM 169CHC",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112123139",
            "telephone_number": "718-240-5615",
            "fax_number": "718-485-4064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPITALEWITZ",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "127445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "45A731",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE-PPO",
            "identifier": "5691218",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0083755",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "127445",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1199 NBF",
            "identifier": "127445-A41",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PRO",
            "identifier": "27N013",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "3399807",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA SENIORS",
            "identifier": "5958371-003",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA REGULAR",
            "identifier": "5958371-002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "000012801",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00639712",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1199 NBF",
            "identifier": "127445-B41",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELDERPLAN",
            "identifier": "10988",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "14-32336",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS",
            "identifier": "6X6611",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "0582172",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2085137",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE-HMO",
            "identifier": "2348380",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "KS486",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.