Active NPI
Tracey M Sperry, D.O.
- Internal Medicine Physician
- Canton, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 5101011328
- Practice address
- 49650 Cherry Hill Road
Suite 120
Canton, MI 48187 - Phone
- (734) 398-7800
- Fax
- (734) 398-7805
- NPI assigned
- Jan 10, 2007
- Last updated
- Oct 27, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 5101011328 | MI | Primary |
Addresses
Primary practice location
49650 Cherry Hill Road
Suite 120
Canton, MI 48187
Mailing address
24 Frank Lloyd Wright Drive
P.O. Box 0446, Lobby J
Ann Arbor, MI 48106-0446
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Michigan State University College of Osteopathic Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19000 St Joes Pkwy
Suite 200
Livonia, MI 48152-1477
Phone (734) 213-3685
20555 Victor Pkwy
Livonia, MI 48152-7031
37595 7 Mile Rd
Suite 340
Livonia, MI 48152-1489
Phone (734) 793-2470
49650 Cherry Hill Rd
Suite 120
Canton, MI 48187-4850
Phone (734) 398-7800
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iha Olma Primary Care Risk LLC | Internal Medicine | Current | Accepting new patients |
| Iha Health Services Corporation | Current | Accepting new patients | |
| Iha Olma Primary Care Risk LLC | Internal Medicine | Current | Accepting new patients |
| Iha Health Services Corporation | Internal Medicine | Current | Accepting new patients |
| Iha Health Service Corporation | Current | Accepting new patients | |
| McLaren Macomb | Internal Medicine | Past | Accepting new patients |
Locations
24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400
49650 Cherry Hill Rd
Ste 120
Canton, MI 48187
Phone (734) 398-7800
128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677
37595 7 Mile Rd
Ste 340
Livonia, MI 48152
Phone (734) 542-9999
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba IHA Canton Obstetrics and Gynecology
- Obstetrics & Gynecology Physician
- Canton, MI
- NPI 1457408965
-
dba IHA Northwest Livonia Primary Care
- Internal Medicine Physician
- Livonia, MI
- NPI 1578162319
-
dba Trinity Health IHA Medical Group OB/GYN Float
- Obstetrics & Gynecology Physician
- Ypsilanti, MI
- NPI 1831053701
-
dba IHA Cherry Hill Village Primary Care
- Internal Medicine Physician
- Canton, MI
- NPI 1710034327
-
dba IHA Livonia Primary Care
- Primary Care Clinic/Center
- Livonia, MI
- NPI 1255802559
Internal Medicine
-
- Internal Medicine Physician
- Mount Clemens, MI
- NPI 1396014601
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Trinity Heath Ann Arbor Hospital
- General Acute Care Hospital
- Ypsilanti, MI
- NPI 1780658443
-
- General Acute Care Hospital
- Livonia, MI
- NPI 1790706901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319673600000",
"number": "1043369523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 FRANK LLOYD WRIGHT DRIVE",
"address_2": "P.O. BOX 0446, LOBBY J",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481060446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49650 CHERRY HILL ROAD",
"address_2": "SUITE 120",
"city": "CANTON",
"state": "MI",
"postal_code": "48187",
"telephone_number": "734-398-7800",
"fax_number": "734-398-7805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPERRY",
"first_name": "TRACEY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2011-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "5101011328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.