Active NPI
Larry Richard Sprouse II, M.D.
- Vascular Surgery Physician
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 35273
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1515824 | Medicaid | TN | |
| 009933539 | Medicaid | AL | |
| 611990120A | Medicaid | GA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- University of Tennessee, HSC, College of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Commonspirit-Memorial Hospital-North Georgia
- Parkridge Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.27 of 100
- Quality
- 92.6
- Promoting interoperability
- 93.23
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 20 |
| Varicose vein removal | 25 |
| Leg revascularization (restoring blood flow) | 37 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD35273 | TN | MD | Surgery Physician |
| 35273 | TN | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chattanooga Hamilton County Hospital Authority | Surgery | Current | Accepting new patients |
| Memorial Health Partners Foundation, Inc | Surgery | Current | Accepting new patients |
| Memorial Health Partners Foundation Inc | Current | Accepting new patients | |
| Memorial Health Partners Foundation Inc | Current | Accepting new patients | |
| Chattanooga Hamilton County Hospital Authority | Current | 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
- lsprouse135501@direct.stlukeshealth.org
- larrysprouse@tnmhpf.allscriptsdirect.net
- 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.
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1922053545
Surgery
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1154751931
Surgery
-
- Medicare Defined Swing Bed Hospital Unit
- Pikeville, TN
- NPI 1073622007
-
- Rural Health Clinic/Center
- Trenton, GA
- NPI 1467602482
-
- Rural Health Clinic/Center
- La Fayette, GA
- NPI 1760632780
-
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1255428736
-
- Surgery Physician
- Chattanooga, TN
- NPI 1437102704
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hixson, TN
- NPI 1083778633
-
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1255428736
-
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1104874684
-
- General Acute Care Hospital
- Ringgold, GA
- NPI 1356860621
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.