NPIMap

Individual provider Active NPI

Milo Dale Spruiell, M.D.

  • Internal Medicine Physician
  • Winfield, AL
National Provider Identifier
1871548883
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
8364 Issued in AL
Practice address
644 Tahoe Rd
Winfield, AL 35594-5028
Phone
(205) 487-4224
Fax
(205) 487-3077
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 8364 AL Primary

Addresses

Primary practice location

644 Tahoe Rd
Winfield, AL 35594-5028

Mailing address

1528 Carraway Blvd
Attn: Credentialing Department
Birmingham, AL 35234-1998
Phone (205) 250-6845

Other names 1

  • M. Dale Spruiell Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20080813000531 AL Practitioner - Internal Medicine 9739259219 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Alabama School of Medicine, 1977
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Winfield Internal Medicine, PCGroup PAC ID 6103996681, 3 clinicians

Practice addresses (Care Compare)

644 Tahoe Rd
Winfield, AL 35594-5028
Phone (205) 487-4224

Hospital & facility affiliations

  • Amedisys Home Health of Tuscaloosa Home health agency, Northport, AL, CCN 017300
  • Enhabit Home Health Home health agency, Muscle Shoals, AL, CCN 017326
  • North Mississippi Health Services - South Marion Hospital, Winfield, AL, CCN 010086
  • North Mississippi Medical Center Hospital, Tupelo, MS, CCN 250004
  • Sunset Manor Nursing home, Guin, AL, CCN 015149

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8364ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NWMC Winfield Physicians LLC Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients
Winfield Internal Medicine, PC Internal Medicine CurrentSince Jul 1, 2008 Accepting new patients
Southern Care LLC Past Accepting new patients
Norwood Clinic Inc Past Accepting new patients

Locations

1500 Urban Center Dr
Ste 325
Vestavia, AL 35242

644 Tahoe Rd
Winfield, AL 35594
Phone (205) 487-4224

125 Henry Ln
Winfield, AL 35594
Phone (205) 487-1260

Networks

  • bcbs alabama network 01C0
  • bcbs alabama network 01G0
  • bcbs alabama network 01A0
  • bcbs alabama network 01E0
  • bcbs alabama network 01H0
  • bcbs alabama network 01B0

Interoperability endpoints

  • Direct secure messaging: milo.spruiell@wim.direct.medconnecthealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/EBBFBD
  • Direct secure messaging: milo.spruiell@winmed.direct.medconnect-inc.com
  • FHIR API: https://api.platform.athenahealth.com/25282/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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 7

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184803200000",
    "number": "1871548883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 CARRAWAY BLVD",
            "address_2": "ATTN: CREDENTIALING DEPARTMENT",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352341998",
            "telephone_number": "205-250-6845",
            "fax_number": "205-250-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 TAHOE RD",
            "city": "WINFIELD",
            "state": "AL",
            "postal_code": "355945028",
            "telephone_number": "205-487-4224",
            "fax_number": "205-487-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRUIELL",
        "first_name": "MILO",
        "middle_name": "DALE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2007-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "8364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "M.",
            "last_name": "SPRUIELL",
            "middle_name": "DALE",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Winfield, AL

Sources for this page

Verify at the official NPI Registry.