Individual provider Active NPI

Keith Burr Sperling, M.D.

  • Health Maintenance Organization
  • Madison, WI
National Provider Identifier
1790995090
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
17554 Issued in WI
Practice address
1414 Mac Arthur Rd
Madison, WI 53714-1318
Phone
(608) 242-8335
Fax
(608) 240-7060
NPI assigned
May 23, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 17554 WI Primary

Addresses

Primary practice location

1414 Mac Arthur Rd
Madison, WI 53714-1318

Mailing address

3427 Nappe Dr
Middleton, WI 53562-2371
Phone (608) 836-0618

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17554WIMDHealth Maintenance Organization

Practice roles

OrganizationSpecialtyStatusNew patients
Community Living Alliance, Inc. Past Accepting new patients
Community Living Alliance Past Accepting new patients

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790995090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3427 NAPPE DR",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535622371",
            "telephone_number": "608-836-0618",
            "fax_number": "608-836-9837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 MAC ARTHUR RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537141318",
            "telephone_number": "608-242-8335",
            "fax_number": "608-240-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPERLING",
        "first_name": "KEITH",
        "middle_name": "BURR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "WI",
            "license": "17554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.