NPIMap

Individual provider Active NPI

Tad D Sprunger, DPM

  • Foot & Ankle Surgery Podiatrist
  • Troy, MI
National Provider Identifier
1306922760
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901001984 Issued in MI
Practice address
4550 Investment Dr
Ste 280
Troy, MI 48098
Phone
(248) 312-0767
Fax
(248) 312-0840
NPI assigned
Oct 28, 2006
Last updated
Oct 3, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 5901001984 MI Primary

Addresses

Primary practice location

4550 Investment Dr
Ste 280
Troy, MI 48098

Mailing address

4550 Investment Dr
Ste 280
Troy, MI 48098
Phone (248) 312-0767

Other identifiers 1

IdentifierTypeStateIssuer
4624291MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20040610000307 MI Practitioner - Podiatry 0749278216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1995
Medicare assignment
May accept Medicare assignment
Group practices
Troy Foot and Ankle PCGroup PAC ID 4587647797, 2 clinicians

Practice addresses (Care Compare)

4550 Investment Dr
Suite 280
Troy, MI 48098-6362
Phone (248) 312-0767

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions31
Removal of nail tissue93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Troy Foot and Ankle PC Foot & Ankle Surgery CurrentSince Mar 24, 2003 Accepting new patients
Advanced Foot & Ankle PC Podiatrist PastSince Feb 23, 2025 Accepting new patients
Carmine Vision Care PC PastSince Jun 18, 2010 Accepting new patients
Eastside Podiatry PLLC Podiatrist Past Accepting new patients
Michael a. Wood, D.P.M., P.C. Foot & Ankle Surgery Past Accepting new patients
Mobile Foot Care PC Podiatrist PastSince Feb 15, 2002 Accepting new patients
Wound Care Consultants PC Foot & Ankle Surgery PastSince Aug 5, 2004 Accepting new patients
Metropolitan Foot Care Services PC Podiatrist Past Accepting new patients
Troy Foot and Ankle PC Podiatrist Past Accepting new patients

Locations

4550 Investment Dr
Ste 280
Troy, MI 48098
Phone (248) 312-0767

Organizations & group practices 9

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 3

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": "1161993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191369600000",
    "number": "1306922760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 INVESTMENT DR",
            "address_2": "STE 280",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48098",
            "telephone_number": "248-312-0767",
            "fax_number": "248-312-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 INVESTMENT DR",
            "address_2": "STE 280",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48098",
            "telephone_number": "248-312-0767",
            "fax_number": "248-312-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRUNGER",
        "first_name": "TAD",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-28",
        "last_updated": "2007-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901001984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4624291",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.