Individual provider Active NPI

John D Sprandio, M.D.

  • Hematology & Oncology Physician
  • Broomall, PA
National Provider Identifier
1144268913
Registry record updated Feb 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD026266E Issued in PA
Practice address
30 Lawrence Rd
Suite 201
Broomall, PA 19008-3301
Phone
(610) 492-5900
Fax
(610) 492-5810
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MD026266E PA Primary

Addresses

Primary practice location

30 Lawrence Rd
Suite 201
Broomall, PA 19008-3301

Mailing address

30 Lawrence Rd
Suite 201
Broomall, PA 19008-3301
Phone (610) 492-5900

Other identifiers 5

IdentifierTypeStateIssuer
4084568OtherPAAETNA
0011349490003MedicaidPA
0083003000OtherPAIBC
830002321OtherPARR MEDICARE
137658OtherPAPA BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101015000072 PA Practitioner - Hematology/Oncology 1355354895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Temple University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Consultants in Medical Oncology and Hematology PCGroup PAC ID 2365413127, 9 clinicians

Practice addresses (Care Compare)

30 Lawrence Rd
Suite 201
Broomall, PA 19008-3301
Phone (610) 492-5900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.51 of 100Reported as individual
Quality
90.59
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD026266EPAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Palliative Care, PC CurrentSince Jun 22, 2021 Accepting new patients
Consultants in Medical Oncology & Hematology, PC Hematology & Oncology CurrentSince Jan 8, 1996 Accepting new patients

Locations

30 Lawrence Rd
Broomall, PA 19008
Phone (484) 446-3636

30 Lawrence Rd
Ste 201
Broomall, PA 19008
Phone (610) 492-5900

2100 Keystone Ave
Ste 502
Drexel Hill, PA 19026
Phone (610) 622-3818

500 Evergreen Dr
Ste G4
Glen Mills, PA 19342
Phone (610) 887-0303

3855 West Chester Pike
Fl Cancer
Newtown Square, PA 19073

Organizations & group practices 2

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517875200000",
    "number": "1144268913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 LAWRENCE RD",
            "address_2": "SUITE 201",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190083301",
            "telephone_number": "610-492-5900",
            "fax_number": "610-492-5810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 LAWRENCE RD",
            "address_2": "SUITE 201",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190083301",
            "telephone_number": "610-492-5900",
            "fax_number": "610-492-5810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRANDIO",
        "first_name": "JOHN",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2018-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PA",
            "license": "MD026266E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4084568",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011349490003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "0083003000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "830002321",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD",
            "identifier": "137658",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomall, PA

Sources for this page

Verify at the official NPI Registry.