RICHARD S SPONG M.D. NPI 1689651093

NPI Information

NPI: 1689651093
Provider Name: RICHARD S SPONG, M.D.
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

PECOS Registration: Yes

Address:
516 DELWARE ST SE PWB CLINIC 2A
UNIVERSITY OF MINNESOTA PHYSICIANS
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 624-9444
Get Directions

Richard S Spong, M.D. is a nephrology internal medicine in Minneapolis, MN with 30 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Richard S Spong, M.D. NPI is 1689651093. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year:1994

The provider's business location address is:

516 DELWARE ST SE PWB CLINIC 2A
UNIVERSITY OF MINNESOTA PHYSICIANS
MINNEAPOLIS, MN
ZIP 55455-356
Phone: (612) 624-9444
Fax: (612) 626-3840

The NPI 1689651093 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 enumeration date for this NPI number is 12/28/2005 and was last updated on 5/17/2012.

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
1	207R00000X	Internal Medicine		45487	MINNESOTA	No
2	207RN0300X	Internal Medicine	Nephrology	45487	MINNESOTA	Yes

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
1	31-00223	OTHER		MEDICA - CHOICE
2	HP39753	OTHER		HEALTHPARTNERS
3	1034834	OTHER		PREFERREDONE
4	P00222225	MEDICARE ID-TYPE UNSPECIFIED		RAIL ROAD MEDICARE
5	31-00223	OTHER		MEDICA - PRIMARY
6	131139	OTHER		UCARE
7	435R4SP	OTHER	MINNESOTA	BLUECROSS BLUESHIELD
8	390000351	MEDICARE ID-TYPE UNSPECIFIED		MEDICARE
9	34508900	MEDICAID	WISCONSIN
10	1936380	OTHER		ARAZ
11	H99838	MEDICARE UPIN
12	0577080	MEDICAID	IOWA
13	0072998	MEDICAID	MONTANA
14	488970300	MEDICAID	MINNESOTA

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: 4/28/2024

NPI Synchronization or Removal

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