Individual provider Active NPI

Emmitt T Spradlin, NP

  • Nurse Practitioner
  • Novi, MI
National Provider Identifier
1295039964
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704213046 Issued in MI
Practice address
45297 Dunbarton Dr
Novi, MI 48375-3811
Phone
(248) 898-5000
NPI assigned
Jan 10, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704213046 MI Primary

Addresses

Primary practice location

45297 Dunbarton Dr
Novi, MI 48375-3811

Mailing address

45297 Dunbarton Dr
Novi, MI 48375-3811

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110318000320 MI Practitioner - Nurse Practitioner 6406039189 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Wayne State University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nilesh Patel MD PCGroup PAC ID 0749219921, 3 clinicians

Practice addresses (Care Compare)

21031 Michigan Ave
Dearborn, MI 48124-2339
Phone (313) 277-6700

Hospital & facility affiliations

  • Surgeons Choice Medical Center Hospital, Southfield, MI, CCN 230301
  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nilesh Patel MD PC CurrentSince Apr 1, 2025 Accepting new patients
Michigan Interventional Pain Center,PC Past Accepting new patients
Universal Health Group, Inc Past Accepting new patients
Universal Health Group, Inc. Past Accepting new patients

Locations

19725 Allen Rd
Bldg 1
Brownstown Twp, MI 48183
Phone (313) 277-6700

21031 Michigan Ave
Dearborn, MI 48124
Phone (313) 216-0332

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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": "1294617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390780800000",
    "number": "1295039964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45297 DUNBARTON DR",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483753811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45297 DUNBARTON DR",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483753811",
            "telephone_number": "248-898-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRADLIN",
        "first_name": "EMMITT",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-10",
        "last_updated": "2014-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704213046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.