NPIMap

Individual provider Active NPI

Wesley L Spruill, MD

  • Interventional Pain Medicine Physician
  • Tuscaloosa, AL
National Provider Identifier
1184618969
Registry record updated Jan 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
14065 Issued in AL
Practice address
1050 Ruby Tyler Pkwy
Tuscaloosa, AL 35404-2958
Phone
(205) 759-7246
Fax
(205) 759-7348
NPI assigned
Sep 7, 2005
Last updated
Jan 11, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 14065 AL Primary

Addresses

Primary practice location

1050 Ruby Tyler Pkwy
Tuscaloosa, AL 35404-2958

Mailing address

PO Box 10568
Birmingham, AL 35202-0568
Phone (800) 897-6169

Other identifiers 1

IdentifierTypeStateIssuer
000007100MedicaidAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100810000399 AL Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 3971538216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
University of Alabama School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Pain and Rehabilitation Physicians, PCGroup PAC ID 2264467505, 4 clinicians

Practice addresses (Care Compare)

1050 Ruby Tyler Pkwy
Tuscaloosa, AL 35404-2958
Phone (205) 759-7246

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
39.97 of 100Reported as individual
Quality
50.5
Improvement activities
0
Cost
65.91

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Pain & Rehabilitation Physicians, PC CurrentSince Feb 22, 1999 Accepting new patients
The DCH Health Care Authority Past Accepting new patients
The DCH Health Care Authority Past Accepting new patients

Locations

1050 Ruby Tyler Pkwy
Tuscaloosa, AL 35404
Phone (205) 750-5394

Organizations & group practices 3

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 4

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": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357862400000",
    "number": "1184618969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10568",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352020568",
            "telephone_number": "800-897-6169",
            "fax_number": "800-897-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 RUBY TYLER PKWY",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354042958",
            "telephone_number": "205-759-7246",
            "fax_number": "205-759-7348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRUILL",
        "first_name": "WESLEY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2013-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "AL",
            "license": "14065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000007100",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.