DR. CEDRIC W. SPAK (MD) – Infectious Disease Physician, NPI 1063575199

DR. CEDRIC W. SPAK (MD) is a healthcare provider. based in Robbinsdale, Minnesota. specializing in INFECTIOUS DISEASE, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. MD00043412 (WA). The NPI Number for DR. CEDRIC W. SPAK (MD) is 1063575199

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. CEDRIC W. SPAK (MD)
NPI
1063575199
Phone
(763) 520-5200
Address
3300 OAKDALE AVE N
Enumeration Date
19 December 2006
Last Update Date
29 October 2018

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
8178109810
Graduation Year
1999 (27 years ago)
PAC ID
9931175924
Group Practice PAC ID
4880596451
Professional Enrollment ID
I20070625000502
Address ID
TX752462046DA3410XSTXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

674 INFECTIOUS DISEASE in TX

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Provider Addresses for DR. CEDRIC W. SPAK (MD)

  • North Memorial Medical Center, 3300, Oakdale Avenue North, Robbinsdale, Hennepin County, Minnesota, 55422, United States

    ROBBINSDALE, MN 554222926

    Phone: (763) 520-5200

    Fax: (763) 257-8356

    Type: Mailing

  • Texas Centers for Infectious Disease Associates, 1025, College Avenue, Fairmount, Fort Worth, Tarrant County, Texas, 76104, United States

    FORT WORTH, TX 761043013

    Phone: (817) 810-9810

    Fax: (817) 840-9815

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 263 Open Payments records for all available years, with a total value of $186,948.

Total Amount is formed as General ($186,948) + Research ($0) + Ownership ($0) = $186,948.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($137,639).

Total Amount

$186,948

General + Research + Ownership

Payments

263

Total payment records

General Amount

$186,948

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-06-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070625000502IInfectious DiseaseTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J0875Injection, dalbavancin, 5 mg11,10019$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes884210$0
96365Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less67171$0
J1335Injection, ertapenem sodium, 500 mg50416$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes479101$0
View full utilization report →

Insurance plans in this area (ZIP 55422)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880596451View full group profile
NameSpecialtyState
Infectious DiseaseTX
Internal MedicineTX
Nurse PractitionerTX
Infectious DiseaseTX
Infectious Disease, Internal MedicineTX
Infectious Disease, Internal MedicineTX
Nurse PractitionerNE
Infectious DiseaseCA
Internal MedicineTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Is DR. CEDRIC W. SPAK (MD) listed with a National Provider Identifier?
Yes — DR. CEDRIC W. SPAK (MD) has NPI 1063575199 on file in the registry.
Is DR. CEDRIC W. SPAK (MD) still an active registrant?
DR. CEDRIC W. SPAK (MD) carries an active NPI according to the public dataset.
What area of care is associated with DR. CEDRIC W. SPAK (MD)?
DR. CEDRIC W. SPAK (MD)'s record emphasizes Infectious Disease Physician. Clinical services aligned with this taxonomy classification.
Where in Minnesota is DR. CEDRIC W. SPAK (MD) registered?
Use Robbinsdale, Minnesota as the headline location for DR. CEDRIC W. SPAK (MD) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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