Individual provider Active NPI

Mark Gregory Sperry, M.D.

  • Internal Medicine Physician
  • Boston, MA
National Provider Identifier
1376773754
Registry record updated Jul 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
240907 Issued in MA
Practice address
800 Washington St
Boston, MA 02111-1552
Phone
(617) 636-1400
NPI assigned
Jul 20, 2009
Last updated
Jul 20, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 240907 MA Primary

Addresses

Primary practice location

800 Washington St
Boston, MA 02111-1552

Mailing address

52 Strathmore Rd
Apt 2
Brighton, MA 02135-7917
Phone (412) 952-8385

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160928002350 DC Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 6901057108 Reassigns benefits to 1 organization
I20170712001607 PA Practitioner - Pulmonary Disease 6901057108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Washington Physician ServicesGroup PAC ID 6103719562, 106 clinicians

Practice addresses (Care Compare)

155 Wilson Ave
Washington, PA 15301-3336

190 N Main St
Suite 204
Washington, PA 15301-4395
Phone (724) 225-9970

220 Greene PLZ
Rear
Waynesburg, PA 15370-8144
Phone (724) 627-2756

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
240907MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Physician Services Internal Medicine CurrentSince Jul 1, 2017 Accepting new patients
Medstar Medical Group II LLC CurrentSince Jul 30, 2016 Accepting new patients
Steward Medical Group, Inc CurrentSince Aug 1, 2012 Accepting new patients
MGMC, LLC CurrentSince Jul 30, 2016 Accepting new patients
Steward Medical Group, Inc PastSince Aug 1, 2012 Accepting new patients
Upmc Washington Past Accepting new patients

Locations

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

2100 Dorchester Ave
Dorchestr Ctr, MA 02124
Phone (617) 506-2222

140 Lincoln Ave
Haverhill, MA 01830
Phone (978) 374-2000

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

18101 Prince Philip Dr
Olney, MD 20832
Phone (301) 774-8618

155 Wilson Ave
Washington, PA 15301
Phone (724) 223-3342

190 N Main St
Ste 204
Washington, PA 15301
Phone (724) 223-9335

95 Leonard Ave
Ste 300
Washington, PA 15301
Phone (724) 225-3640

Interoperability endpoints

  • Direct secure messaging: mark.sperry@whc.eclinicaldirectplus.com

Organizations & group practices 6

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": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248048000000",
    "number": "1376773754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 STRATHMORE RD",
            "address_2": "APT 2",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021357917",
            "telephone_number": "412-952-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WASHINGTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111552",
            "telephone_number": "617-636-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPERRY",
        "first_name": "MARK",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-20",
        "last_updated": "2009-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "240907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.