Lisa Ann Sparks, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

13545 Issued in AZ

Practice address

20045 N. 19TH Avenue
BLDG 10, Suite 3
Phoenix, AZ 85027-3207

Phone

(480) 626-2552

Fax

(480) 626-2551

NPI assigned

Dec 19, 2006

Last updated

Oct 21, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Internal MedicineAlso: Pain Management

Education

University of California, Davis School of Medicine, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

WD Recovery and Wellness Center LLCGroup PAC ID 5698019248, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.26 of 100Reported as group

Quality

97.62

Improvement activities

40

Cost

67.36

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• WD Recovery and Wellness Center, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
  • NPI 1669986998
  Medicare reassignment Care Compare group NPD
• Diamond Diagnostics, LLC

  • Specialist
  • Gilbert, AZ
  • NPI 1952618019
  Medicare reassignment NPD
• Healing Humans

  • Addiction Medicine (Family Medicine) Physician
  • Phoenix, AZ
  • NPI 1528650694
  NPD
• Diamond Medical Equipment L.L.C.

  • Durable Medical Equipment & Medical Supplies
  • Gilbert, AZ
  • NPI 1962552943
  NPD (past)
• Leticia G Jacinto MD PC

  • Psychiatry Physician
  • Glendale, AZ
  • NPI 1275647307
  NPD (past)
• Your Neighborhood Healthcare Center LLC

  • Multi-Specialty Clinic/Center
  • Scottsdale, AZ
  • NPI 1649459231

  Internal Medicine

  NPD (past)
• Equality Health at Home Inc

  • Internal Medicine Physician
  • Frisco, TX
  • NPI 1730936329
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1649334475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 E IRONWOOD SQUARE DR STE 125",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584582",
            "telephone_number": "480-626-2552",
            "fax_number": "480-626-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20045 N. 19TH AVENUE",
            "address_2": "BLDG 10, SUITE 3",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850273207",
            "telephone_number": "480-626-2552",
            "fax_number": "480-626-2551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20224 N 27th Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850273257",
            "country_code": "US",
            "telephone_number": "480-626-2552",
            "fax_number": "480-626-2551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9500 E Ironwood Square Dr Ste 125",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852584582",
            "country_code": "US",
            "telephone_number": "480-626-2552",
            "fax_number": "480-262-2551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "13545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "235326",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Dominic Sparacino, LPC, NCC
• Nicholas Len Sparacino, D.O.
• Danielle Marie Sparenga, ACNP
• Danielle Paige Sparer
• Sparkling Smile Care Services (Sparkle Smile Dental Care)
• Lori Sparks
• Kennedy Sparling
• Patricia Sparrazza, NNP
• Jamie Rae Sparrow, D.O.
• Lucille Spart

• Internal Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.

Verify at the official NPI Registry.