NPIMap

Individual provider Active NPI

Marcin Sprycha, MD

  • Family Medicine Physician
  • Raynham, MA
National Provider Identifier
1841455136
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
239494 Issued in MA
Practice address
1215 Broadway
Raynham, MA 02767-1942
Phone
(508) 894-0400
Fax
(508) 894-0412
NPI assigned
Jul 25, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 239494 MA Primary

Addresses

Primary practice location

1215 Broadway
Raynham, MA 02767-1942

Mailing address

1215 Broadway
Raynham, MA 02767-1942
Phone (508) 894-0400

Other practice location 1

8 Commerce Blvd
Middleboro, MA 02346-1030
Phone (774) 260-9300

Other identifiers 4

IdentifierTypeStateIssuer
110083421AMedicaidMA
1841455136OtherMABC/BS
AA147066OtherMAHPHC
1841455136OtherMATUFTS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090909000668 MA Practitioner - Family Practice 5991850224 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Signature Healthcare Medical Group IncGroup PAC ID 7719876267, 250 clinicians

Practice addresses (Care Compare)

1215 Broadway
Raynham, MA 02767-1942
Phone (508) 894-0400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
239494MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Medical PC CurrentSince Apr 1, 2022 Accepting new patients
Steward Medical Group, Inc CurrentSince Apr 1, 2012 Accepting new patients
Steward Medical Group, Inc CurrentSince May 31, 2023 Accepting new patients
Compass Medical PC Family Medicine CurrentSince Apr 1, 2022 Accepting new patients
Steward Medical Group, Inc CurrentSince Apr 1, 2012 Accepting new patients
Signature Healthcare Medical Group Inc Family Medicine CurrentSince Dec 1, 2023 Accepting new patients
Bridgewater Goddard Park Medical Associates, Inc. Past Accepting new patients

Locations

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

1 Donalds Way
Ste 102
East Bridgewtr, MA 02333
Phone (508) 350-2100

362 N Bedford St
East Bridgewtr, MA 02333
Phone (508) 350-2350

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

8 Commerce Blvd
Ste 200
Middleboro, MA 02346
Phone (508) 350-2105

8 Commerce Blvd
Middleboro, MA 02346
Phone (774) 260-9300

675 Paramount Dr
Ste 301
Raynham, MA 02767
Phone (508) 821-5671

1215 Broadway
Raynham, MA 02767
Phone (508) 828-3967

21 Bristol Dr
Ste 200
South Easton, MA 02375
Phone (508) 565-7300

Interoperability endpoints

  • Direct secure messaging: marcin.sprycha@direct.signature.masshiway.net

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 10

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": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1841455136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 BROADWAY",
            "city": "RAYNHAM",
            "state": "MA",
            "postal_code": "027671942",
            "telephone_number": "508-894-0400",
            "fax_number": "508-894-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 BROADWAY",
            "city": "RAYNHAM",
            "state": "MA",
            "postal_code": "027671942",
            "telephone_number": "508-894-0400",
            "fax_number": "508-894-0412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Commerce Blvd",
            "address_purpose": "LOCATION",
            "city": "Middleboro",
            "state": "MA",
            "postal_code": "023461030",
            "country_code": "US",
            "telephone_number": "774-260-9300",
            "fax_number": "774-260-9305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPRYCHA",
        "first_name": "MARCIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-25",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "239494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110083421A",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "1841455136",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "AA147066",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "1841455136",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raynham, MA

Sources for this page

Verify at the official NPI Registry.