Active NPI
Marja J Sprock, M.D.
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Rockledge, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- License
- ME100296
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116624300 | Medicaid | FL | |
| MS058523 | Other | COMMERCIAL-COMMERCIAL NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
- Cape Canaveral Hospital
- Viera Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.06 of 100
- Quality
- 70.11
- Promoting interoperability
- 85
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 058523 | MI | MD | Obstetrics & Gynecology Physician |
| ME100296 | FL | MD | Female Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marja J Sprock MD, PLLC | Urogynecology and Reconstructive Pelvic Surgery | Current | 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
- marina@cfug.kareodirect.com
- admin@cfug.kareodirect.com
- 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.
-
- Health Service Clinic/Center
- Rockledge, FL
- NPI 1992037501
Urogynecology and Reconstructive Pelvic Surgery
-
- Gynecology Physician
- Melbourne, FL
- NPI 1073729240
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cocoa Beach, FL
- NPI 1184691610
-
- General Acute Care Hospital
- Titusville, FL
- NPI 1053424648
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1730494816
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.