Active NPI
Todd Spock, M.D.
- Otolaryngology Physician
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- C1-0025006
- Practice address
- 700 Prides Xing Ste 200
Newark, DE 19713-6109 - Phone
- (302) 998-0300
- NPI assigned
- May 7, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 297505-1 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Otolaryngology Physician | 207Y00000X | C1-0025006 | DE | Primary |
Addresses
Primary practice location
700 Prides Xing Ste 200
Newark, DE 19713-6109
Mailing address
101 W 10TH St Apt 222
Wilmington, DE 19801-1665
Other practice location 1
1 Gustave L Levy Pl
New York, NY 10029-6504
Phone (212) 241-6500
Other practice location 2
20 York St
New Haven, CT 06510-3220
Phone (203) 688-4242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- George Washington University School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3801 University Dr
Suite 300
Fairfax, VA 22030-2503
Phone (703) 383-8130
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.46 of 100
- Quality
- 89.33
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.53
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0025006 | DE | MD | Otolaryngology Physician |
| 297505-1 | NY | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ENT and Allergy of Delaware LLC | Current | Accepting new patients | |
| Otolaryngology Associates, PC | Otolaryngology | Current | Accepting new patients |
Locations
306 E Main St
Middletown, DE 19709
Phone (302) 378-4489
700 Prides Xing
Ste 200
Newark, DE 19713
1401 Foulk Rd
Ste 205
Wilmington, DE 19803
3801 University Dr
#200
Fairfax, VA 22030
3801 University Dr
#300
Fairfax, VA 22030
Phone (703) 383-8130
3801 University Dr
Ste 300
Fairfax, VA 22030
Phone (703) 383-8130
3801 University Dr
Fairfax, VA 22030
Phone (703) 383-8130
3801 University Dr
Fl 3
Fairfax, VA 22030
Phone (703) 383-8130
1850 Town Center Pkwy
#305
Reston, VA 20190
Phone (703) 834-2900
1850 Town Center Pkwy
Ste 305
Reston, VA 20190
Phone (703) 834-2900
Interoperability endpoints
- tspock982602@nychhc.direct-ci.com
Organizations & group practices 2
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.
-
- Specialist
- Newark, DE
- NPI 1386946333
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Leesburg, VA
- NPI 1285786228
-
- General Acute Care Hospital
- Leesburg, VA
- NPI 1376564302
-
- Rehabilitation Hospital Unit
- Falls Church, VA
- NPI 1588795462
-
- General Acute Care Hospital
- Falls Church, VA
- NPI 1831220714
-
- General Acute Care Hospital
- Reston, VA
- NPI 1053363853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666742400000",
"number": "1902216310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 W 10TH ST APT 222",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198011665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 PRIDES XING STE 200",
"city": "NEWARK",
"state": "DE",
"postal_code": "197136109",
"telephone_number": "302-998-0300"
}
],
"practiceLocations": [
{
"address_1": "1 Gustave L Levy Pl",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100296504",
"country_code": "US",
"telephone_number": "212-241-6500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20 York St",
"address_purpose": "LOCATION",
"city": "New Haven",
"state": "CT",
"postal_code": "065103220",
"country_code": "US",
"telephone_number": "203-688-4242",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPOCK",
"first_name": "TODD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-07",
"last_updated": "2022-10-26",
"certification_date": "2022-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NY",
"license": "297505-1",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "DE",
"license": "C1-0025006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.