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LOUIS SPINA
NPI 1194786962
Pediatrics in New York, NY

Active since March 31, 2006PECOS Enrolled
100TH STREET AND MADISON AVENUE, NEW YORK, NY 10029(212) 241-0101(212) 426-5083 Get Directions Write a Review

NPPES record last updated: November 2, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Louis Spina NPPES

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

LOUIS SPINA (NPI 1194786962) is an individual pediatrics provider in New York, New York, licensed in New York (222571) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194786962
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameLOUIS SPINA
Location Address100TH STREET AND MADISON AVENUENew York, NY 10029
Mailing AddressOne Gustave Levy Place, Box 1149New York, NY 10029 · (212) 241-0101 · Fax (212) 426-5083
Phone(212) 241-0101
Fax(212) 426-5083
Sole ProprietorNo
Enumeration DateMarch 31, 2006
Last NPPES UpdateNovember 2, 2007
✔ NPI 1194786962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 222571
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
100TH STREET AND MADISON AVENUE, New York, NY 10029
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Other Identifiers 3

Medicare ID-Type Unspecified600Y41NY
Medicaid02590527NY
Medicare UPINI17505

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Louis Spina 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Louis Spina reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fpa Hospital Based
Same address
Dermatopathology
1468 MADISON AVE, ANNENBERG 03-08
New York, NY 10029
  • Reassigned Medicare billing, New York enrollment
  • 1,067 clinicians in this Medicare group
NPI 1841531795 (212) 731-7772
Icahn School Of Medicine At Mount Sinai
Same address
Emergency Medicine
1468 MADISON AVE
New York, NY 10029
  • Reassigned Medicare billing, New York enrollment
  • 325 clinicians in this Medicare group
NPI 1346908662 (212) 241-6500

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHILLIP ANDRUS MD
Emergency Medicine
100TH STREET AND MADISON AVENUE
NEW YORK, NY 10029
New York County (212) 241-0101
ARI COHEN MD
Emergency Medicine (Pediatric Emergency Medicine)
100TH STREET AND MADISON AVENUE
NY, NY 10029
New York County (212) 241-0101
KAMINI R PATEL PA
Physician Assistant
100TH STREET AND MADISON AVENUE
NEW YORK, NY 10029
New York County (212) 241-0101
THOMAS NGUYEN MD
Emergency Medicine
100TH STREET AND MADISON AVENUE
NEW YORK, NY 10029
New York County (212) 241-0101
SCOT HILL MD
Emergency Medicine
100TH STREET AND MADISON AVENUE
NEW YORK, NY 10029
New York County (212) 241-0101
DENISE NASSISI
Emergency Medicine
100TH STREET AND MADISON AVENUE
NEW YORK, NY 10029
New York County (212) 241-0101

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 Louis Spina's NPI number?

The NPI number for Louis Spina is 1194786962. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is Louis Spina located?

Louis Spina practices at 100th Street And Madison Avenue, New York, NY 10029. The listed phone number is (212) 241-0101.

What is Louis Spina's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Louis Spina enrolled in Medicare?

Yes. Louis Spina is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Louis Spina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Louis Spina reassigns Medicare benefits to 2 organizations: Fpa Hospital Based (New York, NY) and Icahn School Of Medicine At Mount Sinai (New York, NY). 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 Louis Spina'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 Louis Spina was last updated on November 2, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.