Individual provider Active NPI

Dennis A Sparks, M.D.

  • Family Medicine Physician
  • Louisville, KY
National Provider Identifier
1629076153
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26281 Issued in KY
Practice address
2831 S Hurstbourne Pkwy
Suite B
Louisville, KY 40220-4121
Phone
(502) 491-6963
Fax
(502) 491-8398
NPI assigned
Jul 8, 2005
Last updated
Jul 9, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

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 26281 KY Primary

Addresses

Primary practice location

2831 S Hurstbourne Pkwy
Suite B
Louisville, KY 40220-4121

Mailing address

2831 S Hurstbourne Pkwy
Suite B
Louisville, KY 40220-4121
Phone (502) 491-6963

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20101208000794 KY Practitioner - Family Practice 3779770359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Louisville School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

2831 S Hurstbourne Pkwy
Suite B
Louisville, KY 40220-4112
Phone (502) 491-6963

3900 Kresge Way
Louisville, KY 40207-4681

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.1 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
73.67

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26281KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Medical Associates Inc CurrentSince Aug 1, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Aug 1, 2024 Accepting new patients

Locations

2831 S Hurstbourne Pkwy
Ste B
Louisville, KY 40220
Phone (502) 491-6963

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404864000000",
    "number": "1629076153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 S HURSTBOURNE PKWY",
            "address_2": "SUITE B",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402204121",
            "telephone_number": "502-491-6963",
            "fax_number": "502-491-8398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 S HURSTBOURNE PKWY",
            "address_2": "SUITE B",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402204121",
            "telephone_number": "502-491-6963",
            "fax_number": "502-491-8398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "DENNIS",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2014-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "26281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.