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DR. DAVID RAPHAEL SPIELBERG M.D.
NPI 1104110832
Pediatrics - Pediatric Pulmonology in Chicago, IL

Active since May 28, 2011PECOS EnrolledAccepts Medicare Assignment
225 E CHICAGO AVE, CHICAGO, IL 60611(312) 227-6261 Get Directions Write a Review

NPPES record last updated: February 22, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 22, 2022, Nov 1, 2018 (2 updates tracked since 2018).

About Dr. David Raphael Spielberg M.d. NPPES

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

DR. DAVID RAPHAEL SPIELBERG M.D. (NPI 1104110832) is an individual pediatric pulmonology provider in Chicago, Illinois, licensed in Illinois (036.158077) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS and is a graduate of Duke University School Of Medicine (2011).

NPPES Registry Identity

NPI1104110832
Entity TypeIndividualMale
Primary Taxonomy2080P0214X
Provider Legal NameDR. DAVID RAPHAEL SPIELBERGCredential: M.D.
Location Address225 E CHICAGO AVEChicago, IL 60611-2991
Mailing Address225 E Chicago Ave, Box 43Chicago, IL 60611-2991 · (312) 227-6260
Phone(312) 227-6261
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2011
Enumeration DateMay 28, 2011
Last NPPES UpdateFebruary 22, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2022
✔ NPI 1104110832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0214X
Licenses✔ Licensed in IL · 036.158077✔ Licensed in TX · R4148
Definition
A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
225 E CHICAGO AVE, Chicago, IL 60611
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Moda Health Plan, Inc..Insurance ›

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. David Raphael Spielberg 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.

PECOS PAC ID9537411954
PECOS Enrollment IDI20181015000270
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.

Medicare Billing Reassignment

Medicare enrollment records show David Spielberg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Texas Children's Physician Group
946 mi
Pediatrics
6621 FANNIN ST
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Texas Childrens Physician Group
  • 2,498 clinicians in this Medicare group
NPI 1861675506 (832) 824-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

BESSEY ELIZABETH JOSE GEEVARGHESE DO
Pediatrics
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (630) 933-6631
CHRISTINA SOOJIN KIM M.D.
Pediatrics
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (443) 928-7458
JESSICA LAUREN OFFENBACH APN
Nurse Practitioner (Pediatrics)
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (312) 227-4000
MS. JENNY KO LEE APN
Nurse Practitioner (Neonatal)
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (847) 962-6268
ERIN COHEN MD
Pediatrics (Hospice and Palliative Medicine)
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (312) 227-4000
DR. JOSEPH HART COLLINS MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (312) 227-3550
ALEXIS LYN HARMON
Student in an Organized Health Care Education/Training Program
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (312) 227-4000
SHANNON JULIA CONWAY MD
Student in an Organized Health Care Education/Training Program
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (312) 227-4000

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 David Spielberg's NPI number?

The NPI number for David Spielberg is 1104110832. It was assigned to this individual provider in the NPPES registry on May 28, 2011.

Where is David Spielberg located?

David Spielberg practices at 225 E Chicago Ave, Chicago, IL 60611. The listed phone number is (312) 227-6261.

What is David Spielberg's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Is David Spielberg enrolled in Medicare?

Yes. David Spielberg 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 organization bills Medicare for David Spielberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Spielberg reassigns Medicare benefits to Texas Children's Physician Group (Houston, TX). The 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 David Spielberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Spielberg accept?

Health plans from Baylor Scott and White Health Plan and Moda Health Plan, Inc. list David Spielberg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David Spielberg was last updated on February 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.