DR. KEITH MICHAEL SPELLMAN M.D.
NPI 1003056433
Radiology - Diagnostic Radiology in Newark, NJ
About Dr. Keith Michael Spellman M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KEITH MICHAEL SPELLMAN M.D. (NPI 1003056433) is an individual diagnostic radiology provider in Newark, New Jersey, licensed in California (A107892) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS and is a graduate of Drexel University College Of Medicine (2004).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Keith Michael Spellman M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Keith Spellman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Forest Hill, MD 21050
- Reassigned Medicare billing, Maryland enrollment
- 317 clinicians in this Medicare group
Beltsville, MD 20705
- Reassigned Medicare billing, District of Columbia enrollment
- 234 clinicians in this Medicare group
San Bernardino, CA 92404
- Reassigned Medicare billing, California enrollment
- 1,191 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 9
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEWARK, NJ 07112
NEWARK, NJ 07112
NEWARK, NJ 07112
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Keith Spellman's NPI number?
The NPI number for Keith Spellman is 1003056433. It was assigned to this individual provider in the NPPES registry on February 25, 2009.
Where is Keith Spellman located?
Keith Spellman practices at 201 Lyons Ave, Newark, NJ 07112. The listed phone number is (973) 926-7960.
What is Keith Spellman's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Keith Spellman enrolled in Medicare?
Yes. Keith Spellman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Keith Spellman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Keith Spellman reassigns Medicare benefits to 3 organizations: Lifebridge Community Physicians (Forest Hill, MD), Professional Services Of Holy Cross (Beltsville, MD) and Dignity Health Medical Foundation (San Bernardino, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Keith Spellman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Keith Spellman was last updated on November 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Keith Michael Spellman, M.D. · NPI 1003056433
Diagnostic Radiology physician in Newark, New Jersey. Individual provider, active in the CMS NPPES registry since February 25, 2009.
## Identity
- **NPI:** 1003056433 (Entity type: Individual)
- **Enumerated:** February 25, 2009
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** A107892 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 201 LYONS AVE, Newark, NJ 07112-2027
- **Phone:** (973) 926-7960
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Lifebridge Community Physicians (NPI 1962756189, Forest Hill, MD); Professional Services Of Holy Cross (NPI 1841151438, Beltsville, MD); Dignity Health Medical Foundation (NPI 1053653873, San Bernardino, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Drexel University College Of Medicine, class of 2004
## Record status
- **NPPES last updated:** November 26, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1003056433) · Data from the CMS NPPES public registry.