Active NPI
Samuel Spitalewitz, MD
- Nephrology Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 127445
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45A731 | Other | NY | MEDICARE PTAN |
| 5691218 | Other | NY | AETNA US HEALTHCARE-PPO |
| 0083755 | Other | NY | GHI |
| 127445 | Other | NY | HIP |
| 127445-A41 | Other | NY | 1199 NBF |
| 27N013 | Other | NY | NEIGHBORHOOD HEALTH PRO |
| 3399807 | Other | NY | GHI |
| 5958371-003 | Other | NY | CIGNA SENIORS |
| 5958371-002 | Other | NY | CIGNA REGULAR |
| 000012801 | Other | NY | AMERICHOICE |
| 00639712 | Medicaid | NY | |
| 127445-B41 | Other | NY | 1199 NBF |
| 10988 | Other | NY | ELDERPLAN |
| 14-32336 | Other | NY | UNITED HEALTHCARE |
| 6X6611 | Other | NY | EMPIRE BC/BS |
| 0582172 | Other | NY | AETNA US HEALTHCARE |
| P2085137 | Other | NY | OXFORD |
| 2348380 | Other | NY | AETNA US HEALTHCARE-HMO |
| KS486 | Other | NY | OXFORD |
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
Enrollment records 1
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
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
- Brookdale Hospital Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interfaith Emergency Medicine, P.C. | Current | Accepting new patients | |
| Brookdale Hospital Medical Center | Current | Accepting new patients | |
| Interfaith Professional Physician Services, P.C. | Current | Accepting new patients | |
| The Brookdale Hospital Medical Center | Current | Accepting new patients | |
| Kidney Care Associates, PLLC | Nephrology | Past | 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.
-
- Allergy Physician
- Brooklyn, NY
- NPI 1457643991
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1720028772
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1457643785
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Brooklyn, NY
- NPI 1639756406
-
- Nephrology Physician
- Brooklyn, NY
- NPI 1487637070
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Brooklyn, NY
- NPI 1043790736
Dialysis facility
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1346380870
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1356307656
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1487724712
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Brooklyn, NY
- NPI 1639756406
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; 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.