Individual provider Active NPI

Thomas D Sprinkle, M.D.

  • Emergency Medicine Physician
  • Moscow, ID
National Provider Identifier
1881680312
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
M14751 Issued in ID
Practice address
2500 W a St Ste 101
Moscow, ID 83843-6000
Phone
(208) 882-2011
NPI assigned
Sep 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X M14751 ID Primary

Addresses

Primary practice location

2500 W a St Ste 101
Moscow, ID 83843-6000

Mailing address

700 S Main St
Moscow, ID 83843-3046
Phone (208) 882-2011

Other identifiers 1

IdentifierTypeStateIssuer
00A841500MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address urgentcareqvmc@sjhhandhmg.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, ID2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080201000503 CA Practitioner - Emergency Medicine 9335109271 Reassigns benefits to 4 organizations
I20190724003807 ID Practitioner - Emergency Medicine 9335109271 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M14751IDMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Idaho- Nampa PLLC Emergency Medicine CurrentSince Jul 1, 2020 Accepting new patients
Southern Inyo Healthcare District CurrentSince Dec 13, 2021 Accepting new patients
Sonoma Valley Emergency Physicians Medical Group, Inc Emergency Medicine CurrentSince Jan 1, 2022 Accepting new patients
Permanente Medical Group Inc Emergency Medicine Current Accepting new patients
Permanente Medical Group, Inc CurrentSince Sep 1, 2023 Accepting new patients
Napa Valley Emergency Medical Group Emergency Medicine CurrentSince Oct 1, 2007 Accepting new patients
Southern Inyo Healthcare District CurrentSince Dec 13, 2021 Accepting new patients
Permanente Medical Group Inc Emergency Medicine CurrentSince Sep 1, 2023 Accepting new patients

Locations

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

1000 Trancas St
Napa, CA 94558
Phone (707) 226-2901

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

347 Andrieux St
Sonoma, CA 95476
Phone (707) 935-5000

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

415 6th St
Lewiston, ID 83501
Phone (208) 750-7445

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1881680312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S MAIN ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838433046",
            "telephone_number": "208-882-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W A ST STE 101",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838436000",
            "telephone_number": "208-882-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRINKLE",
        "first_name": "THOMAS",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ID",
            "license": "M14751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A841500",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "urgentcareqvmc@sjhhandhmg.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1621 W Imola Ave",
            "city": "Napa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945594721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moscow, ID

Sources for this page

Verify at the official NPI Registry.