Individual provider Active NPI

Sally Jo Sperbeck, DO

  • Internal Medicine Physician
  • West Branch, MI
National Provider Identifier
1386951382
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5101017082 Issued in MI
Practice address
575 Court St Ste 3
West Branch, MI 48661-9387
Phone
(989) 701-2159
NPI assigned
Sep 12, 2010
Last updated
May 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2021

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 5101017082 MI Primary

Addresses

Primary practice location

575 Court St Ste 3
West Branch, MI 48661-9387

Mailing address

575 Court St Ste 3
West Branch, MI 48661-9387
Phone (989) 701-2159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 20, 2021 through May 20, 2027

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Allergy PLLC Internal Medicine CurrentSince Jan 21, 2024 Accepting new patients

Locations

575 Court St
Ste 3
West Branch, MI 48661
Phone (989) 701-2159

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1386951382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 COURT ST STE 3",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486619387",
            "telephone_number": "989-701-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 COURT ST STE 3",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486619387",
            "telephone_number": "989-701-2159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPERBECK",
        "first_name": "SALLY",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-12",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101017082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Branch, MI

Sources for this page

Verify at the official NPI Registry.