DR. MICHAEL JOHN SPINA M.D.
NPI 1194927160
Radiology - Diagnostic Radiology in Newark, DE
About Dr. Michael John Spina M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHAEL JOHN SPINA M.D. (NPI 1194927160) is an individual diagnostic radiology provider in Newark, Delaware, licensed in Delaware (2085R0202X) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Schuylkill Medical Center - South Jackson Street, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2007).
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. Michael John Spina 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 Michael Spina reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Newark, DE 19718
- Reassigned Medicare billing, Delaware and Pennsylvania enrollments
- Also billed through NPI 1942553615 (Delaware), NPI 1609409861 (Pennsylvania)
- 1,531 clinicians in this Medicare group
Gilbertsville, PA 19525
- Reassigned Medicare billing, Pennsylvania enrollment
- 2,895 clinicians in this Medicare group
Allentown, PA 18103
- Reassigned Medicare billing, Pennsylvania enrollment
- 122 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 39
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Schuylkill Medical Center - South Jackson Street
Acute Care Hospitals · Pottsville, PALehigh Valley Hospital
Acute Care Hospitals · Allentown, PALehigh Valley Hospital - Hazleton
Acute Care Hospitals · Hazleton, PALehigh Valley Hospital - Pocono
Acute Care Hospitals · East Stroudsburg, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19718 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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, DE 19718
NEWARK, DE 19718
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 Michael Spina's NPI number?
The NPI number for Michael Spina is 1194927160. It was assigned to this individual provider in the NPPES registry on June 1, 2007.
Where is Michael Spina located?
Michael Spina practices at 4755 Ogletown-Stanton Rd Room 2a00, Newark, DE 19718. The listed phone number is (302) 733-1041.
What is Michael Spina's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Michael Spina enrolled in Medicare?
Yes. Michael Spina 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 Michael Spina's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Spina reassigns Medicare benefits to 3 organizations: Christiana Care Health Services, Inc (Newark, DE), Lehigh Valley Physician Group (Gilbertsville, PA) and Medical Imaging Of Lehigh Valley PC (Allentown, PA). 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 Michael Spina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Michael Spina affiliated with any hospitals?
According to CMS data, Michael Spina is affiliated with Schuylkill Medical Center - South Jackson Street, Lehigh Valley Hospital, Lehigh Valley Hospital - Hazleton and Lehigh Valley Hospital - Pocono.
When was this NPI record last updated?
The NPPES record for Michael Spina was last updated on May 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.