DOROTHEA ELISABETH SPAMBALG M.D.
NPI 1568406809
Internal Medicine - Endocrinology, Diabetes & Metabolism in Pasadena, CA

Active since June 16, 2006Opted out of Medicare · through Jan 1, 2027CLIA 05D1018039 · Waiver
221 E WALNUT ST, STE. 115, PASADENA, CA 91101(626) 577-0505 Get Directions Write a Review

NPPES record last updated: September 4, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dorothea Elisabeth Spambalg M.d. NPPES

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

DOROTHEA ELISABETH SPAMBALG M.D. (NPI 1568406809) is an individual endocrinology, diabetes & metabolism provider in Pasadena, California, licensed in California (G72900) and active in the NPI registry since June 2006. She has opted out of Medicare through January 1, 2027 and remains eligible to order and refer and holds a CLIA Waiver certificate valid through October 9, 2027.

NPPES Registry Identity

NPI1568406809
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameDOROTHEA ELISABETH SPAMBALGCredential: M.D.
Location Address221 E WALNUT ST, STE. 115Pasadena, CA 91101-1585
Mailing AddressPo Box 80529San Marino, CA 91118-8529
Sole ProprietorYes
Enumeration DateJune 16, 2006
Last NPPES UpdateSeptember 4, 2007
NPI 1568406809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in CA · G72900
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
221 E WALNUT ST, Pasadena, CA 91101

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dorothea Elisabeth Spambalg M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2015 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2015
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1018039

Dorothea Spambalg MD · Pasadena, CA
Active · expires Oct 9, 2027
CLIA Number05D1018039
Laboratory TypePhysician Office
Certificate Effective DateOctober 10, 2025
Certificate Expiration DateOctober 9, 2027
Laboratory DirectorDorothea E. Spambalg MD
Laboratory Phone(626) 577-0505
Laboratory LocationDorothea Spambalg MD221 E Walnut Street Suite 115, Pasadena, CA 91101
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91101 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
3 suppliers18 claims210 services$18.08 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
3 suppliers19 claims572 services$2.36 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
1 supplier12 claims12 services$172.75 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
27 suppliers115 claims324 services$5.83 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers29 claims37 services$1.01 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
8 suppliers191 claims192 services$182.78 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Chiropractor
221 E WALNUT ST, SUITE 130
PASADENA, CA 91101
Preferred Provider Organization
221 E WALNUT ST, SUITE 130
PASADENA, CA 91101
Chiropractor
221 E WALNUT ST, SUITE275
PASADENA, CA 91101
Occupational Therapist
221 E WALNUT ST
PASADENA, CA 91101
Chiropractor
221 E WALNUT ST, SUITE 275
PASADENA, CA 91101
Internal Medicine (Endocrinology, Diabetes & Metabolism)
221 E WALNUT ST, SUITE 115
PASADENA, CA 91101

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 Dorothea Spambalg's NPI number?

The NPI number for Dorothea Spambalg is 1568406809. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Dorothea Spambalg located?

Dorothea Spambalg practices at 221 E Walnut St Ste. 115, Pasadena, CA 91101. The listed phone number is (626) 577-0505.

What is Dorothea Spambalg's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Dorothea Spambalg enrolled in Medicare?

No. Dorothea Spambalg has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Does Dorothea Spambalg hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1018039) is associated with this NPI, valid through October 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dorothea Spambalg was last updated on September 4, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.