LUKE RICHARD SPONHOLZ M.D.
NPI 1679837579
Internal Medicine in Bronx, NY

Q: What is Luke Sponholz's NPI number?

The NPI number for Luke Sponholz is 1679837579. It was assigned to this individual provider in the NPPES registry on June 26, 2012.

Q: What is Luke Sponholz's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Luke Sponholz was last updated on September 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since June 26, 2012PECOS Enrolled

100/100

CMS Quality Rating

1825 EASTCHESTER RD, BRONX, NY 10461(718) 904-2000 Get Directions Write a Review

NPPES record last updated: September 18, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Luke Richard Sponholz M.d. NPPES

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

LUKE RICHARD SPONHOLZ M.D. (NPI 1679837579) is an individual internal medicine provider in Bronx, New York, licensed in New York (280778) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1679837579

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameLUKE RICHARD SPONHOLZCredential: M.D.

Location Address1825 EASTCHESTER RDBronx, NY 10461-2301

Mailing Address1825 Eastchester RdBronx, NY 10461-2301 · (718) 904-2000

Phone(718) 904-2000

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJune 26, 2012

Last NPPES UpdateSeptember 18, 2015

✔ NPI 1679837579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NY · 280778

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1825 EASTCHESTER RD, Bronx, NY 10461

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Luke Richard Sponholz M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476862962

PECOS Enrollment IDI20151023001012

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 Luke Sponholz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Montefiore Medical Center

2.7 mi

Anesthesiology

111 E 210TH ST
Bronx, NY 10467

Reassigned Medicare billing, New York enrollment
5,251 clinicians in this Medicare group

NPI 1063525152 (914) 378-6021

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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

194 services69 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

141 services60 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

55 services54 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

50 services50 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330059

Location111 East 210th StreetBronx, NY 10467 · Bronx County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10461 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

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 4

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$13.52 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers14 claims14 services$66.70 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

2 suppliers22 claims22 services$10.74 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

2 suppliers14 claims14 services$7.36 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 20

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

DR. ANGELICA ROSA ANGIULLI MD

Emergency Medicine

1825 EASTCHESTER RD
BRONX, NY 10461

Bronx County (718) 904-2904

KOHTARO OOKA

Internal Medicine (Gastroenterology)

1825 EASTCHESTER RD
BRONX, NY 10461

Bronx County (844) 556-6683

MR. ZAPHIN VARGHESE

Physician Assistant (Medical)

1825 EASTCHESTER RD
BRONX, NY 10461

Bronx County (718) 904-2000

YILUN LI

Physician Assistant

1825 EASTCHESTER RD
BRONX, NY 10461

Bronx County (203) 710-6502

KIRA PAGE

Student in an Organized Health Care Education/Training Program

1825 EASTCHESTER RD
BRONX, NY 10461

Bronx County (718) 904-2000

DR. CRISTINA MARIA GONZALEZ M.D.

Hospitalist

1825 EASTCHESTER RD, DOM 2-76
BRONX, NY 10461

Bronx County (718) 904-2400

DARSHITA SHAH MD

Obstetrics & Gynecology

1825 EASTCHESTER RD
BRONX, NY 10461

Bronx County (718) 904-2767

SHRUTHEE RAJENDRAN

Physician Assistant (Medical)

1825 EASTCHESTER RD
BRONX, NY 10461

Bronx County (718) 904-2904

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 Luke Sponholz's NPI number?

The NPI number for Luke Sponholz is 1679837579. It was assigned to this individual provider in the NPPES registry on June 26, 2012.

Where is Luke Sponholz located?

Luke Sponholz practices at 1825 Eastchester Rd, Bronx, NY 10461. The listed phone number is (718) 904-2000.

What is Luke Sponholz's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Luke Sponholz enrolled in Medicare?

Yes. Luke Sponholz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Luke Sponholz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luke Sponholz reassigns Medicare benefits to Montefiore Medical Center (Bronx, NY). 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 Luke Sponholz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Luke Sponholz affiliated with any hospitals?

According to CMS data, Luke Sponholz is affiliated with Montefiore Medical Center.

When was this NPI record last updated?

The NPPES record for Luke Sponholz was last updated on September 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.