JACK W SPITZBERG MD NPI 1619976966

NPI Information

  • NPI: 1619976966
  • Provider Name: JACK W SPITZBERG, MD
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8440 WALNUT HILL LN STE 400
    DALLAS, TX
    ZIP 75231
  • Phone: (214) 369-3613

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NPI Details

Jack W Spitzberg, MD is a cardiovascular disease internal medicine in Dallas, TX with 58 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Jack W Spitzberg, MD NPI is 1619976966. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduation Year:1968

The provider's business location address is:

8440 WALNUT HILL LN STE 400
DALLAS, TX
ZIP 75231-879
Phone: (214) 369-3613
Fax: (214) 369-6042

The NPI 1619976966 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)

The enumeration date for this NPI number is 7/19/2005 and was last updated on 2/19/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular DiseaseE4085TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P00044329OTHERTEXASRAILROAD
2110044853OTHERTEXASRAILROAD
3116656301MEDICAIDTEXAS
4060036467OTHERTEXASRAILROAD
5116656303MEDICAIDTEXAS
680A132OTHERTEXASBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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