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JERRY SPIVAK M.D.
NPI 1083645303
Internal Medicine - Hematology in Baltimore, MD

Active since July 05, 2006PECOS Enrolled
600 N WOLFE ST, BALTIMORE, MD 21287(410) 955-3142 Get Directions Write a Review

NPPES record last updated: February 19, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jerry Spivak M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRY SPIVAK M.D. (NPI 1083645303) is an individual hematology provider in Baltimore, Maryland, licensed in Maryland (D03781) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083645303
Entity TypeIndividualMale
Primary Taxonomy207RH0000X
Provider Legal NameJERRY SPIVAKCredential: M.D.
Location Address600 N WOLFE STBaltimore, MD 21287-0005
Mailing AddressPo Box 64264Baltimore, MD 21264-4264 · (410) 955-3142
Phone(410) 955-3142
Sole ProprietorNo
Enumeration DateJuly 5, 2006
Last NPPES UpdateFebruary 19, 2013
✔ NPI 1083645303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · HematologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0000X
License✔ Licensed in MD · D03781
Definition
An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.
Also ListedInternal MedicineTaxonomy 207R00000X · License D03781 (MD)
600 N WOLFE ST, Baltimore, MD 21287
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Other Identifiers 3

Medicare UPIND74748MD
Medicare PINKR69MJ08MD
Medicaid711651900MD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerry Spivak M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21287 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$183.44 typical visit price
range $60.73 – $183.44
Typical copayment $45.86 (range $15.18 – $45.86)
Most-billed visit code 99205
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

PAMELA KIMZEY DONOHUE SCD, PA-C
Physician Assistant (Medical)
600 N WOLFE ST, NELSON 2-133
BALTIMORE, MD 21287
Baltimore City (410) 955-5232
MR. CHRISTOPHER DAVID SCHRIEBER M.S., PA-C
Physician Assistant
600 N WOLFE ST, MARBURG B-186
BALTIMORE, MD 21287
Baltimore City (410) 955-8708
DR. SABRINA CHRISTINE SOPHA M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
600 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-3580
SANDRA KING D.H.
Dental Hygienist
600 N WOLFE ST, BLALOCK 266
BALTIMORE, MD 21287
Baltimore City (410) 955-6662
THERESA J RUDDY C.P.N.P., CRNP
Nurse Practitioner (Acute Care)
600 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-5260
DR. SUMAN PAUL M.B.B.S, PHD
Internal Medicine (Medical Oncology)
600 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-5000
MS. SARAH CATHERINE COLLICA
Psychiatry & Neurology (Psychiatry)
600 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (443) 287-4701
JEFF S EHRESMAN
Student in an Organized Health Care Education/Training Program
600 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-5000

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 Jerry Spivak's NPI number?

The NPI number for Jerry Spivak is 1083645303. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Jerry Spivak located?

Jerry Spivak practices at 600 N Wolfe St, Baltimore, MD 21287. The listed phone number is (410) 955-3142.

What is Jerry Spivak's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology, with taxonomy code 207RH0000X.

Is Jerry Spivak enrolled in Medicare?

Yes. Jerry Spivak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jerry Spivak was last updated on February 19, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.