Individual provider Active NPI

Adam Laughlin Sperduto, M.D.

  • Procedural Dermatology Physician
  • Vestavia HLS, AL
National Provider Identifier
1740579036
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
MD.34098 Issued in AL
Practice address
2000 Stonegate TRL Ste 112
Vestavia HLS, AL 35242-2237
Phone
(205) 977-9876
Fax
(205) 977-9976
NPI assigned
Apr 7, 2011
Last updated
May 20, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Procedural Dermatology Physician 207NS0135X MD.34098 AL Primary

Addresses

Primary practice location

2000 Stonegate TRL Ste 112
Vestavia HLS, AL 35242-2237

Mailing address

2000 Stonegate TRL Ste 112
Vestavia HLS, AL 35242-2237
Phone (205) 977-9876

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161021000601 SC Practitioner - Dermatology 7719299809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Emory University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charleston Dermatology PCGroup PAC ID 6709164056, 11 clinicians

Practice addresses (Care Compare)

5401 Netherby LN
Suite 1202
North Charleston, SC 29420-7365
Phone (843) 872-3015

Merit-based Incentive Payment System (MIPS)

Final score
95.39 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
84.63

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision112
Removal of skin lesions318
Removal of skin cancer1198
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy187

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Dermatology, PC CurrentSince Sep 1, 2016 Accepting new patients
Cutaneous Oncology & Surgery Center, LLC Past Accepting new patients

Locations

5401 Netherby Ln
Ste 1202
North Charleston, SC 29420
Phone (843) 872-3015

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432080000000",
    "number": "1740579036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 STONEGATE TRL STE 112",
            "city": "VESTAVIA HLS",
            "state": "AL",
            "postal_code": "352422237",
            "telephone_number": "205-977-9876",
            "fax_number": "205-977-9976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 STONEGATE TRL STE 112",
            "city": "VESTAVIA HLS",
            "state": "AL",
            "postal_code": "352422237",
            "telephone_number": "205-977-9876",
            "fax_number": "205-977-9976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPERDUTO",
        "first_name": "ADAM",
        "middle_name": "LAUGHLIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-07",
        "last_updated": "2015-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "AL",
            "license": "MD.34098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia HLS, AL

Sources for this page

Verify at the official NPI Registry.