Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Keith Michael Spellman, MD

Individual provider Diagnostic Radiology Physician · NPI 1003056433

Dr. Keith Michael Spellman, MD is a Diagnostic Radiology in Newark, New Jersey. Graduated from Drexel University College of Medicine in 2004, 22 years ago. Practices with Dignity Health Medical Foundation, a 1,204-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
22
Trained at
Drexel University College of Medicine
Licensed in
CA
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

201 Lyons Ave
Newark, NJ 07112-2027
Phone: (973) 926-7960
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence A107892 (CA)

Record details

NPI number1003056433
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 25, 2009
Last updated in NPPESNovember 26, 2013
Mailing address148 Beachview Ave, Santa Cruz, CA 95060-3008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolDREXEL UNIVERSITY COLLEGE OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Dignity Health Medical Foundation — 1204 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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