Individual provider Active NPI

Marja J Sprock, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Rockledge, FL
National Provider Identifier
1336216704
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
ME100296 Issued in FL
Practice address
101 Eyster Blvd
Rockledge, FL 32955-3608
Phone
(321) 806-3929
Fax
(321) 806-3928
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 058523 MI
Obstetrics & Gynecology Physician 207V00000X ME100296 FL
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X ME100296 FL Primary

Addresses

Primary practice location

101 Eyster Blvd
Rockledge, FL 32955-3608

Mailing address

101 Eyster Blvd
Rockledge, FL 32955-3608
Phone (321) 806-3929

Other identifiers 2

IdentifierTypeStateIssuer
116624300MedicaidFL
MS058523OtherCOMMERCIAL-COMMERCIAL NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ADMIN@CFUG.KAREODIRECT.COM Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20080417000150 FL Practitioner - Obstetrics/Gynecology 9830157221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 Eyster Blvd
Central Florida Urogynecology
Rockledge, FL 32955-3608
Phone (321) 806-2929

Hospital & facility affiliations

  • Parrish Medical Center Hospital, Titusville, FL, CCN 100028
  • Cape Canaveral Hospital Hospital, Cocoa Beach, FL, CCN 100177
  • Viera Hospital Hospital, Melbourne, FL, CCN 100315

Merit-based Incentive Payment System (MIPS)

Final score
79.06 of 100Reported as individual
Quality
70.11
Promoting interoperability
85
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
058523MIMDObstetrics & Gynecology Physician
ME100296FLMDFemale Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marja J Sprock MD, PLLC Urogynecology and Reconstructive Pelvic Surgery CurrentSince Jan 7, 2010 Accepting new patients
Ralph Zipper MD PA Past Accepting new patients

Locations

101 Eyster Blvd
Fl Urog
Rockledge, FL 32955
Phone (321) 482-7870

101 Eyster Blvd
Rockledge, FL 32955
Phone (321) 806-3929

101 Eyster Blvd
#J
Rockledge, FL 32955

Interoperability endpoints

  • Direct secure messaging: marina@cfug.kareodirect.com
  • Direct secure messaging: admin@cfug.kareodirect.com
  • Direct secure messaging: msprock71565@epicdirect.hf.org

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 and National Provider Directory roles.

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1336216704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 EYSTER BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553608",
            "telephone_number": "321-806-3929",
            "fax_number": "321-806-3928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 EYSTER BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553608",
            "telephone_number": "321-806-3929",
            "fax_number": "321-806-3928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPROCK",
        "first_name": "MARJA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "058523",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME100296",
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "FL",
            "license": "ME100296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116624300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL-COMMERCIAL NUMBER",
            "identifier": "MS058523",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ADMIN@CFUG.KAREODIRECT.COM",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "xml, pdf",
            "address_1": "101 Eyster Blvd",
            "city": "Rockledge",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329553608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

Verify at the official NPI Registry.