Active NPI
Matthew Thomas Sproul, M.D.
- Family Medicine Physician
- Garner, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2007-00996
- Practice address
- 811 US 70 Hwy W
Garner, NC 27529-2541 - Phone
- (919) 235-6565
- Fax
- (919) 235-6596
- NPI assigned
- Mar 2, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2007-00996 | NC | Primary |
Addresses
Primary practice location
811 US 70 Hwy W
Garner, NC 27529-2541
Mailing address
PO Box 603949
Charlotte, NC 28260-3949
Phone (919) 350-9713
Other practice location 1
231 N Judd Pkwy NE
Fuquay Varina, NC 27526-2694
Phone (919) 235-6560
Other practice location 2
2930 Forestville Rd
Raleigh, NC 27616-8774
Phone (919) 235-6500
Other practice location 3
110 Kildaire Park Dr
Cary, NC 27518-8162
Phone (919) 859-1136
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5909877 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080814000466 | NC | Practitioner - Family Practice | 1951476654 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wakemed Specialists Group LLC
Practice addresses (Care Compare)
2406 Blue Ridge Rd
Raleigh, NC 27607-6678
Phone (919) 789-4322
Hospital & facility affiliations
- Wakemed, Raleigh Campus
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007-00996 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Specialty Physicians LLC | Current | Accepting new patients | |
| Wakemed Specialists Group, LLC | Current | Accepting new patients | |
| Wake Specialty Physicians, LLC | Current | Accepting new patients | |
| Wakemed Specialists Group, LLC | Current | Accepting new patients | |
| Wakemed Specialists Group LLC | Current | Accepting new patients | |
| Wake Specialty Physicians, LLC | Family Medicine | Current | Accepting new patients |
| Carolinas Physicians Network Inc | Family Medicine | Past | Accepting new patients |
| Union Urgent Care LLC | Family Medicine | Past | Accepting new patients |
| Wake Specialty Physicians LLC | Family Medicine | Past | Accepting new patients |
| Carolinas Physicians Network Inc | Past | Accepting new patients | |
| Union Urgent Care LLC | Family Medicine | Past | Accepting new patients |
| Carolinas Physicians Network Inc | Family Medicine | Past | Accepting new patients |
| Carolinas Physicians Network Inc | Family Medicine | Past | Accepting new patients |
| Cabarrus Urgent Care | Family Medicine | Past | Accepting new patients |
Locations
120 Healthplex Way
Apex, NC 27502
Phone (919) 235-6525
212 Ashville Ave
Cary, NC 27518
Phone (919) 859-1136
110 Kildaire Park Dr
Cary, NC 27518
Phone (919) 235-0616
231 N Judd Pkwy NE
Fuquay Varina, NC 27526
Phone (919) 235-6410
811 US 70 Hwy W
Garner, NC 27529
Phone (919) 235-6565
10000 Falls of Neuse Rd
Ste 205
Raleigh, NC 27614
Phone (919) 350-1630
10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300
3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000
2406 Blue Ridge Rd
Raleigh, NC 27607
Phone (919) 539-3796
2930 Forestville Rd
Raleigh, NC 27616
Phone (919) 235-6500
Interoperability endpoints
- msproul7339@directhisp.wakemed.org
Organizations & group practices 20
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.
-
- Durable Medical Equipment & Medical Supplies
- Raleigh, NC
- NPI 1841956943
-
- Durable Medical Equipment & Medical Supplies
- Cary, NC
- NPI 1093370249
-
- Durable Medical Equipment & Medical Supplies
- Raleigh, NC
- NPI 1093370389
-
- Durable Medical Equipment & Medical Supplies
- Raleigh, NC
- NPI 1376108522
-
- Durable Medical Equipment & Medical Supplies
- Raleigh, NC
- NPI 1588229777
-
- Durable Medical Equipment & Medical Supplies
- Garner, NC
- NPI 1992360960
-
- Pediatrics Physician
- Fuquay Varina, NC
- NPI 1578334892
-
- Urgent Care Clinic/Center
- Cary, NC
- NPI 1013297365
-
- Cardiac Rehabilitation Registered Nurse
- Raleigh, NC
- NPI 1063304228
-
- Obesity Medicine (Internal Medicine) Physician
- Cary, NC
- NPI 1013571587
Hospital & facility affiliations 2
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": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672272000000",
"number": "1619005204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 603949",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282603949",
"telephone_number": "919-350-9713",
"fax_number": "919-350-7687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 US 70 HWY W",
"city": "GARNER",
"state": "NC",
"postal_code": "275292541",
"telephone_number": "919-235-6565",
"fax_number": "919-235-6596"
}
],
"practiceLocations": [
{
"address_1": "231 N Judd Pkwy NE",
"address_purpose": "LOCATION",
"city": "Fuquay Varina",
"state": "NC",
"postal_code": "275262694",
"country_code": "US",
"telephone_number": "919-235-6560",
"fax_number": "919-235-6597",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2930 Forestville Rd",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276168774",
"country_code": "US",
"telephone_number": "919-235-6500",
"fax_number": "919-235-6585",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "110 Kildaire Park Dr",
"address_purpose": "LOCATION",
"city": "Cary",
"state": "NC",
"postal_code": "275188162",
"country_code": "US",
"telephone_number": "919-859-1136",
"fax_number": "919-859-4240",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPROUL",
"first_name": "MATTHEW",
"middle_name": "THOMAS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-02",
"last_updated": "2022-12-29",
"certification_date": "2022-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2007-00996",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5909877",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Garner, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; 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.