Individual provider Active NPI

Larry Richard Sprouse II, M.D.

  • Vascular Surgery Physician
  • Chattanooga, TN
National Provider Identifier
1730173634
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
35273 Issued in TN
Practice address
2501 Citico Ave
Chattanooga, TN 37404-1127
Phone
(423) 697-2000
Fax
(423) 697-2320
NPI assigned
Sep 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD35273 TN
Vascular Surgery Physician 2086S0129X 35273 TN Primary

Addresses

Primary practice location

2501 Citico Ave
Chattanooga, TN 37404-1127

Mailing address

2501 Citico Ave
Chattanooga, TN 37404-1127
Phone (423) 697-2000

Other identifiers 3

IdentifierTypeStateIssuer
1515824MedicaidTN
009933539MedicaidAL
611990120AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20040609000583 TN Practitioner - Vascular SurgeryPractitioner - General Surgery 2567445828 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
University of Tennessee, HSC, College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Health Partners Foundation IncGroup PAC ID 8022919570, 458 clinicians

Practice addresses (Care Compare)

2051 Hamill Rd
Hixson, TN 37343-4653

2333 McCallie Ave
Chattanooga, TN 37404-3258
Phone (423) 495-2620

24 Mountain View Dr
Suite B
Kimball, TN 37347-5478
Phone (423) 654-7670

2515 Desales Ave
Suite 204
Chattanooga, TN 37404-1100
Phone (423) 654-7670

2525 Desales Ave
Chattanooga, TN 37404-1161
Phone (423) 492-4734

5600 Brainerd Rd
Suite 500
Chattanooga, TN 37411-5371
Phone (423) 414-3586

Hospital & facility affiliations

  • Memorial Healthcare System, Inc Hospital, Chattanooga, TN, CCN 440091
  • Commonspirit-Memorial Hospital-North Georgia Hospital, Ringgold, GA, CCN 110236
  • Parkridge Medical Center Hospital, Chattanooga, TN, CCN 440156

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
92.6
Promoting interoperability
93.23
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion20
Varicose vein removal25
Leg revascularization (restoring blood flow)37
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD35273TNMDSurgery Physician
35273TNMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Hamilton County Hospital Authority Surgery CurrentSince Aug 1, 2004 Accepting new patients
Memorial Health Partners Foundation, Inc Surgery CurrentSince Dec 1, 2022 Accepting new patients
Memorial Health Partners Foundation Inc Current Accepting new patients
Memorial Health Partners Foundation Inc CurrentSince Dec 1, 2022 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince Aug 1, 2004 Accepting new patients
University Surgical Associates PC Surgery Past Accepting new patients
Memorial Health Care System Inc. Past Accepting new patients

Locations

1949 Gunbarrel Rd
Ste 206
Chattanooga, TN 37421
Phone (423) 495-4345

975 E 3rd St
#4
Chattanooga, TN 37403
Phone (423) 778-2508

975 E 3rd St
Fl 4
Chattanooga, TN 37403
Phone (423) 778-2508

979 E 3rd St
Ste 300
Chattanooga, TN 37403
Phone (423) 757-0792

5600 Brainerd Rd
Ste 500
Chattanooga, TN 37411
Phone (423) 414-3586

1755 Gunbarrel Rd
Ste 203
Chattanooga, TN 37421
Phone (423) 778-8511

2515 Desales Ave
Ste 204
Chattanooga, TN 37404
Phone (423) 622-0207

2501 Citico Ave
Chattanooga, TN 37404
Phone (423) 697-2318

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

2051 Hamill Rd
Ste 204
Hixson, TN 37343
Phone (423) 870-2450

2051 Hamill Rd
Ste 403
Hixson, TN 37343
Phone (423) 316-8147

Interoperability endpoints

  • Direct secure messaging: lsprouse135501@direct.stlukeshealth.org
  • Direct secure messaging: larrysprouse@tnmhpf.allscriptsdirect.net
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71772

Organizations & group practices 7

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 4

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": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1730173634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 CITICO AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041127",
            "telephone_number": "423-697-2000",
            "fax_number": "423-697-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 CITICO AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041127",
            "telephone_number": "423-697-2000",
            "fax_number": "423-697-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPROUSE",
        "first_name": "LARRY",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "MD35273",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TN",
            "license": "35273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1515824",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009933539",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "611990120A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.