Individual provider Active NPI

Michele Elizabeth Sprosty, MD

  • Family Medicine Physician
  • Suffolk, VA
National Provider Identifier
1801884150
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101280768 Issued in VA
Practice address
5833 Harbor View Blvd Ste B
Suffolk, VA 23435-3760
Phone
(757) 337-4018
NPI assigned
Oct 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A89515 CA
Family Medicine Physician 207Q00000X 01066050A IN
Family Medicine Physician 207Q00000X 0101280768 VA Primary

Addresses

Primary practice location

5833 Harbor View Blvd Ste B
Suffolk, VA 23435-3760

Mailing address

5833 Harbor View Blvd Ste B
Suffolk, VA 23435-3760
Phone (757) 337-4018

Other names 1

  • Dr. Michele Elizabeth Overton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20240909000390 VA Practitioner - Family Practice 2163661182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Saint Louis University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christopher Dowd DO PCGroup PAC ID 5799936522, 7 clinicians

Practice addresses (Care Compare)

5833 Harbour View Blvd
Suite B
Suffolk, VA 23435-3760
Phone (757) 337-4018

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A89515CAMDFamily Medicine Physician
0101280768VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher Dowd DO PC CurrentSince Sep 1, 2024 Accepting new patients
Plastic Surgery Specialist of Virginia, Inc. PastSince Sep 1, 2024 Accepting new patients

Locations

901 Hampton Blvd
Ste 300
Norfolk, VA 23507
Phone (757) 337-4018

1024 Centerbrooke Ln
Ste F
Suffolk, VA 23434
Phone (347) 654-5690

5833 Harbour View Blvd
Ste B
Suffolk, VA 23435
Phone (757) 337-4018

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: msprosty@cdd-va.direct.office.nextgen.com

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 and National Provider Directory roles.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1801884150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5833 HARBOR VIEW BLVD STE B",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353760",
            "telephone_number": "757-337-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5833 HARBOR VIEW BLVD STE B",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353760",
            "telephone_number": "757-337-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPROSTY",
        "first_name": "MICHELE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-11",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A89515",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01066050A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101280768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "OVERTON",
            "middle_name": "ELIZABETH",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.