Individual provider Active NPI

Deborah Sperry, N.P.

  • Family Nurse Practitioner
  • Bloomfield Hills, MI
National Provider Identifier
1386179885
Registry record updated Apr 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704277438 Issued in MI
Practice address
43097 Woodward Ave
Bloomfield Hills, MI 48302-5041
Phone
(248) 334-0050
NPI assigned
Apr 22, 2017
Last updated
Apr 22, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704277438 MI Primary

Addresses

Primary practice location

43097 Woodward Ave
Bloomfield Hills, MI 48302-5041

Mailing address

50 N Perry St
Pontiac, MI 48342-2217
Phone (248) 338-5000

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
I20170525001578 MI Practitioner - Nurse Practitioner 2466729306 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fadi Salloum MD PCGroup PAC ID 2062503584, 28 clinicians

Practice addresses (Care Compare)

3500 S Blvd W
Pomeroy Rochester
Rochester Hills, MI 48309-3973
Phone (248) 852-7800

50 N Perry St
Pontiac, MI 48342-2217
Phone (248) 338-5645

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fadi Salloum MD PC CurrentSince Mar 17, 2020 Accepting new patients
Hospitalist Medicine Physicians of Michigan - Saginaw PLLC CurrentSince Nov 1, 2023 Accepting new patients
Telemed Consultants PLLC Past Accepting new patients
Mercy Medical Group Past Accepting new patients

Locations

1100 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0317

28550 5 Mile Rd
Livonia, MI 48154
Phone (734) 278-8270

44405 Woodward Ave
Pontiac, MI 48341
Phone (248) 858-3000

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

1480 Walton Blvd
Rochester Hills, MI 48309
Phone (248) 651-4422

10770 Elizabeth Lake Rd
White Lake, MI 48386
Phone (248) 618-4100

Organizations & group practices 4

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 1

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": "1492819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492819200000",
    "number": "1386179885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 N PERRY ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483422217",
            "telephone_number": "248-338-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43097 WOODWARD AVE",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025041",
            "telephone_number": "248-334-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPERRY",
        "first_name": "DEBORAH",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-22",
        "last_updated": "2017-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704277438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

Verify at the official NPI Registry.