Individual provider Active NPI

Roy Walter. Sprinkle, D.P.M.

  • Foot Surgery Podiatrist
  • Surfside Beach, SC
National Provider Identifier
1720037070
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
99-0141 Issued in SC
Practice address
1103 Glenns Bay Rd
Surfside Beach, SC 29575-4722
Phone
(843) 228-8989
Fax
(843) 238-2787
NPI assigned
May 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 99-0141 SC Primary

Addresses

Primary practice location

1103 Glenns Bay Rd
Surfside Beach, SC 29575-4722

Mailing address

P.O.Box 15908
Surfside Beach, SC 29587-5908
Phone (843) 238-8989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20100618000211 SC Practitioner - Podiatry 1355471343 Reassigns benefits to 1 organization
Practice locations: Surfside Beach, SC

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1103 Glenns Bay Rd
Surfside Beach, SC 29575-4722
Phone (843) 238-8989

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue128
Removal of skin lesions1-10
Removal of nail tissue854
Removal or shaving of skin growth198

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
141SCMDPediatric Nutrition Registered Dietitian
99-0141SCMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Foot Health Center, PA Foot Surgery CurrentSince Jun 11, 1997 Accepting new patients

Locations

1103 Glenns Bay Rd
Surfside Beach, SC 29575
Phone (843) 228-8989

Organizations & group practices 1

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": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201824000000",
    "number": "1720037070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O.BOX 15908",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295875908",
            "telephone_number": "843-238-8989",
            "fax_number": "843-238-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 GLENNS BAY RD",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295754722",
            "telephone_number": "843-228-8989",
            "fax_number": "843-238-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRINKLE",
        "first_name": "ROY",
        "middle_name": "WALTER.",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2008-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "SC",
            "license": "99-0141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surfside Beach, SC

Sources for this page

Verify at the official NPI Registry.