Individual provider Active NPI

Stephen M Sproul, MD

  • Family Medicine Physician
  • Mount Prospect, IL
National Provider Identifier
1427030451
Registry record updated Feb 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036066341 Issued in IL
Practice address
431 Lakeview CT Suite D
Metrodocs
Mount Prospect, IL 60056
Phone
(847) 296-3040
Fax
(847) 296-5546
NPI assigned
Nov 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036066341 IL Primary

Addresses

Primary practice location

431 Lakeview CT Suite D
Metrodocs
Mount Prospect, IL 60056

Mailing address

431 Lakeview CT Suite D
Metrodocs
Mount Prospect, IL 60056
Phone (847) 296-3040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20220312000238 NM Practitioner - Family Practice 5991786386 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. 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

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group of New Mexico LLC Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
DLM Internal Medicine Inc PastSince Jan 1, 2022 Accepting new patients
Metrodocs, S.C. Family Medicine Past Accepting new patients

Locations

4208 Central Ave SW
Ste G
Albuquerque, NM 87105
Phone (505) 777-3001

5555 Zuni Rd SE
Ste 11
Albuquerque, NM 87108
Phone (505) 280-6849

Interoperability endpoints

  • Direct secure messaging: stephen.sproul@oakstreethealth.gwaydirect.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297728000000",
    "number": "1427030451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 LAKEVIEW CT SUITE D",
            "address_2": "METRODOCS",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "60056",
            "telephone_number": "847-296-3040",
            "fax_number": "847-296-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 LAKEVIEW CT SUITE D",
            "address_2": "METRODOCS",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "60056",
            "telephone_number": "847-296-3040",
            "fax_number": "847-296-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPROUL",
        "first_name": "STEPHEN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2011-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036066341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

Verify at the official NPI Registry.