Individual provider Active NPI

Anna Sporysheva, MD

  • Ophthalmology Physician
  • Deerfield Beach, FL
National Provider Identifier
1629691605
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME177477 Issued in FL
Practice address
5 W Sample Rd
Deerfield Beach, FL 33064-3542
Phone
(954) 782-1700
Fax
(954) 782-0145
NPI assigned
May 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME177477 FL Primary
Retina Specialist (Ophthalmology) Physician 207WX0107X ME177477 FL
Ophthalmology Physician 207W00000X 036.166561 IL

Addresses

Primary practice location

5 W Sample Rd
Deerfield Beach, FL 33064-3542

Mailing address

5 W Sample Rd
Deerfield Beach, FL 33064-3542
Phone (954) 782-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240906000648 IL Practitioner - Ophthalmology 9638619554 Reassigns benefits to 1 organization
I20251203000710 FL Practitioner - Ophthalmology 9638619554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William J Rand MdpaGroup PAC ID 5496789729, 8 clinicians
Retina Institute of Illinois PCGroup PAC ID 1153320973, 9 clinicians

Practice addresses (Care Compare)

5 W Sample Rd
Deerfield Beach, FL 33064-3542

8780 W Golf Rd
Suite 304
Niles, IL 60714-5611
Phone (847) 297-8900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.166561ILMDOphthalmology Physician
ME177477FLMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
William J Rand Mdpa CurrentSince Nov 1, 2025 Accepting new patients
Retina Institute of Illinois PC Ophthalmology CurrentSince Oct 6, 2024 Accepting new patients

Locations

5 W Sample Rd
Deerfield Beach, FL 33064
Phone (954) 782-1700

2326 W Foster Ave
Ste 100
Chicago, IL 60625
Phone (773) 784-9400

820 E Terra Cotta Ave
Crystal Lake, IL 60014
Phone (815) 444-1330

820 E Terra Cotta Ave
Ste 247
Crystal Lake, IL 60014
Phone (815) 788-1000

1435 N Randall Rd
Ste 401
Elgin, IL 60123
Phone (630) 424-9877

36100 N Brookside Dr
Ste 206
Gurnee, IL 60031
Phone (847) 855-2500

130 S Main St
Ste 303
Lombard, IL 60148
Phone (630) 424-9877

8780 W Golf Rd
Ste 304
Niles, IL 60714
Phone (847) 297-8900

715 Lake St
Ste 120
Oak Park, IL 60301
Phone (708) 358-0701

Interoperability endpoints

  • Direct secure messaging: asporysheva90442@direct.med.miami.edu

Organizations & group practices 2

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": "1590364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1629691605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 W SAMPLE RD",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "330643542",
            "telephone_number": "954-782-1700",
            "fax_number": "954-782-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 W SAMPLE RD",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "330643542",
            "telephone_number": "954-782-1700",
            "fax_number": "954-782-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPORYSHEVA",
        "first_name": "ANNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-25",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME177477",
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "FL",
            "license": "ME177477",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036.166561",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

Verify at the official NPI Registry.