Individual provider Active NPI

Ryan Michael Sprouse, AU.D.

  • Audiologist
  • Pittsburgh, PA
National Provider Identifier
1235869710
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT006823 Issued in PA
Practice address
203 Lothrop St FL 4
Pittsburgh, PA 15213-2548
Phone
(412) 647-2030
NPI assigned
Jun 16, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AT006823 PA Primary

Addresses

Primary practice location

203 Lothrop St FL 4
Pittsburgh, PA 15213-2548

Mailing address

121 S Highland Ave Apt 704
Pittsburgh, PA 15206-3982
Phone (304) 669-3349

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address UPMChospitals@upmcdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220923001097 PA Practitioner - Qualified Audiologist 7810372042 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Health Services Inc CurrentSince Feb 1, 2023 Accepting new patients
Upmc Community Medicine, Inc Current Accepting new patients
Upmc Community Medcine Inc CurrentSince Jun 29, 2022 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Upmc Community Medicine, Inc CurrentSince Jun 29, 2022 Accepting new patients
University of Pittsburgh Physicians Audiologist CurrentSince Jun 29, 2022 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jun 29, 2022 Accepting new patients

Locations

3406 Peach St
Erie, PA 16508
Phone (814) 877-5381

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

200 Lothrop St
Ste 300
Pittsburgh, PA 15213
Phone (412) 647-2100

203 Lothrop St
Fl 4
Pittsburgh, PA 15213
Phone (412) 647-2030

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1235869710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S HIGHLAND AVE APT 704",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063982",
            "telephone_number": "304-669-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 LOTHROP ST FL 4",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132548",
            "telephone_number": "412-647-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPROUSE",
        "first_name": "RYAN",
        "middle_name": "MICHAEL",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT006823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UPMChospitals@upmcdirect.com",
            "affiliation": "N",
            "address_1": "600 Grant Street",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "15219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.