Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Spencer Ryan Idstein, MD

Individual provider Pediatrics Physician · NPI 1205194693

Spencer Ryan Idstein, MD is an Internal Medicine in Prospect, Kentucky. Graduated from University of Louisville School of Medicine in 2012, 14 years ago. Practices with Internal Medicine and Pediatric Partners PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
14
Trained at
University of Louisville School of Medicine
Licensed in
KY
In the registry since
2012
Specialties on file
2
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

6341 Meeting St Ste 102
Prospect, KY 40059-8731
Phone: (502) 566-0300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 49531 (KY)
Pediatrics Physician Taxonomy 208000000X · Licence 49531 (KY)

Record details

NPI number1205194693
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 24, 2012
Last updated in NPPESDecember 8, 2023
Certification dateDecember 8, 2023
Mailing address6341 Meeting St Ste 102, Prospect, KY 40059-8731

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Internal Medicine And Pediatric Partners Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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