Individual provider Active NPI

Michelle P Sparks, DPM

  • Podiatrist
  • Kittanning, PA
National Provider Identifier
1619108586
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC006141 Issued in PA
Practice address
13607 State Route 422 Ste D
Kittanning, PA 16201-3571
Phone
(724) 543-3668
Fax
(724) 543-2087
NPI assigned
Jul 27, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC006141 PA Primary

Addresses

Primary practice location

13607 State Route 422 Ste D
Kittanning, PA 16201-3571

Mailing address

186 Blaney Rd
Suite a
Kittanning, PA 16201-3568
Phone (724) 543-3668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121218000026 PA Practitioner - Podiatry 5991953549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13607 State Route 422
Suite D
Kittanning, PA 16201-3571
Phone (724) 543-3668

Hospital & facility affiliations

  • Acmh Hospital Hospital, Kittanning, PA, CCN 390163

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue24
Removal of skin lesions1-10
Removal of nail tissue452
Removal or shaving of skin growth281

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC006141PAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ankle and Foot Care Inc Podiatrist CurrentSince May 9, 2016 Accepting new patients
Foot Care Center PLC Podiatrist CurrentSince Aug 20, 2012 Accepting new patients
Family Foot and Ankle Clinic LLC Podiatrist Past Accepting new patients
Foot Care Center PLC Podiatrist PastSince Aug 20, 2012 Accepting new patients
Ankle and Foot Care, Inc Past Accepting new patients

Locations

13607 State Route 422
Ste D
Kittanning, PA 16201
Phone (724) 543-3668

186 Blaney Rd
Ste A
Kittanning, PA 16201
Phone (724) 543-3668

611 E Jubal Early Dr
Winchester, VA 22601
Phone (540) 536-5500

621 E Jubal Early Dr
Winchester, VA 22601
Phone (540) 536-2755

1066 Hisey Ave
Ste 104
Woodstock, VA 22664
Phone (540) 459-1271

44 Trifecta Pl
Ste 200
Charles Town, WV 25414
Phone (304) 728-5000

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1619108586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 BLANEY RD",
            "address_2": "SUITE A",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162013568",
            "telephone_number": "724-543-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13607 STATE ROUTE 422 STE D",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162013571",
            "telephone_number": "724-543-3668",
            "fax_number": "724-543-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "MICHELLE",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-27",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC006141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kittanning, PA

Sources for this page

Verify at the official NPI Registry.