Individual provider Active NPI

Todd Spock, M.D.

  • Otolaryngology Physician
  • Newark, DE
National Provider Identifier
1902216310
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
C1-0025006 Issued in DE
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

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220907000893 DE Practitioner - Otolaryngology 9133440688 Reassigns benefits to 1 organization
I20250423000560 DC Practitioner - Otolaryngology 9133440688 Reassigns benefits to 1 organization

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
Otolaryngology Associates PCGroup PAC ID 8022188069, 31 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
C1-0025006DEMDOtolaryngology Physician
297505-1NYMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
ENT and Allergy of Delaware LLC CurrentSince Oct 1, 2022 Accepting new patients
Otolaryngology Associates, PC Otolaryngology CurrentSince Feb 15, 2025 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.