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HOLDEN SPIVAK MD
NPI 1982196218
Surgery in Providence, RI

Active since June 01, 2018PECOS EnrolledAccepts Medicare Assignment
2 DUDLEY ST STE 470, PROVIDENCE, RI 02905(401) 553-8355(401) 868-2328 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 12, 2025, Aug 2, 2024, Jun 15, 2023 (3 updates tracked since 2023).

About Holden Spivak Md NPPES

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

HOLDEN SPIVAK MD (NPI 1982196218) is an individual surgery provider in Providence, Rhode Island, licensed in Rhode Island (MD20640) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and maintains a secondary practice location in Stony Brook.

NPPES Registry Identity

NPI1982196218
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameHOLDEN SPIVAKCredential: MD
Location Address2 DUDLEY ST STE 470Providence, RI 02905-3248
Mailing Address22 S Greene StBaltimore, MD 21201-1544 · (410) 328-9781
Phone(401) 553-8355
Fax(401) 868-2328
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2018
Enumeration DateJune 1, 2018
Last NPPES UpdateJune 12, 20253 updates tracked since enumeration
NPPES CertifiedJune 12, 2025
✔ NPI 1982196218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in RI · MD20640✔ Licensed in RI · LP04314✔ Licensed in NY · 329166
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
2 DUDLEY ST STE 470, Providence, RI 02905
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Secondary Practice Location 1

Location 1Health Sciences Center Level 19, Rm 085Stony Brook, NY 11794-1544 · Phone (631) 444-2034

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellSense Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Holden Spivak Md 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 ID3678828340
PECOS Enrollment IDI20250711000768
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.

Hospital Affiliations CMS Care Compare 3

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

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Rhode Island Hospital

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipTribal
CMS Certification Number410007
Location593 Eddy StreetProvidence, RI 02903 · Providence County
Emergency services

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02905 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
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 20

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

DR. STEPHANIE N LUECKEL M.D.
Surgery (Surgical Critical Care)
2 DUDLEY ST STE 470
PROVIDENCE, RI 02905
Providence County (401) 228-0630
LIFESPAN PHYSICIAN GROUP, INC.
Surgery
2 DUDLEY ST STE 470
PROVIDENCE, RI 02905
Providence County (401) 272-1800
DR. KATHERINE MACCALLUM MD
Surgery (Vascular Surgery)
2 DUDLEY ST STE 470
PROVIDENCE, RI 02905
Providence County (401) 553-8325
ABBAS EL SAYED ABBAS MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2 DUDLEY ST STE 470
PROVIDENCE, RI 02905
Providence County (401) 553-8320
UNIVERSITY SURGICAL ASSOCIATES, INC.
Surgery
2 DUDLEY ST STE 470
PROVIDENCE, RI 02905
Providence County (401) 272-1800
DR. TIMOTHY DAILY MURTHA M.D.
Surgery (Surgical Oncology)
2 DUDLEY ST STE 470
PROVIDENCE, RI 02905
Providence County (401) 421-0245
SAMANTHA LUELLA RONAYNE PA-C
Physician Assistant
2 DUDLEY ST STE 470
PROVIDENCE, RI 02905
Providence County (401) 272-1800
DR. ADENA J OSBAND MD
Transplant Surgery
2 DUDLEY ST STE 470
PROVIDENCE, RI 02905
Providence County (401) 228-0638

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 Holden Spivak's NPI number?

The NPI number for Holden Spivak is 1982196218. It was assigned to this individual provider in the NPPES registry on June 1, 2018.

Where is Holden Spivak located?

Holden Spivak practices at 2 Dudley St Ste 470, Providence, RI 02905. The listed phone number is (401) 553-8355.

What is Holden Spivak's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Holden Spivak enrolled in Medicare?

Yes. Holden Spivak 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.

What insurance does Holden Spivak accept?

Health plans from WellSense Health Plan list Holden Spivak 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.

Is Holden Spivak affiliated with any hospitals?

According to CMS data, Holden Spivak is affiliated with Suny/Stony Brook University Hospital, Rhode Island Hospital and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Holden Spivak was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.