ANNA SPORYSHEVA (MD) – Student in an Organized Health Care Education/Training Program, NPI 1629691605

ANNA SPORYSHEVA (MD) is a healthcare provider. based in Deerfield beach, Florida. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. ME177477 (FL). The NPI Number for ANNA SPORYSHEVA (MD) is 1629691605

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
ANNA SPORYSHEVA (MD)
NPI
1629691605
Phone
(954) 782-1700
Address
5 W SAMPLE RD
Enumeration Date
25 May 2020
Last Update Date
14 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9547821700
Graduation Year
2006 (20 years ago)
PAC ID
9638619554
Group Practice PAC ID
5496789729
Professional Enrollment ID
I20251203000710
Address ID
FL330643542PO5XXXXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:6State licenses:2Digital endpointsOther names

1,548 OPHTHALMOLOGY in FL

Provider Addresses for ANNA SPORYSHEVA (MD)

  • 5 W SAMPLE RD

    DEERFIELD BEACH, FL 330643542

    Phone: (954) 782-1700

    Fax: (954) 782-0145

    Type: Mailing

  • 3654 W CORNELIA AVE APT 2

    CHICAGO, IL 606185314

    Phone: (312) 788-0767

    Type: Mailing

  • 225 E CHICAGO AVE

    CHICAGO, IL 606112991

    Phone: (312) 227-4000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $518.

Total Amount is formed as General ($518) + Research ($0) + Ownership ($0) = $518.

Last reported payment date: 2024-05-10 • Largest payer in this snapshot: Alcon Vision LLC ($146).

Total Amount

$518

General + Research + Ownership

Payments

4

Total payment records

General Amount

$518

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-12-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240906000648IOphthalmologyILTBD
I20251203000710IOphthalmologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33064)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496789729View full group profile
NameSpecialtyState
-FL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
-FL
O P H T H A L M O L O G YFL
A N E S T H E S I O L O G YFL
O P T O M E T R YFL
O P H T H A L M O L O G YFL

Reviews

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Frequently asked questions

What federal number belongs to ANNA SPORYSHEVA (MD)?
The federal identifier for ANNA SPORYSHEVA (MD) is NPI 1629691605.
Does this profile mean ANNA SPORYSHEVA (MD) is currently active?
Yes — ANNA SPORYSHEVA (MD) appears active in the national provider directory.
Does ANNA SPORYSHEVA (MD) list a primary specialty?
If you are matching referrals, note Student in an Organized Health Care Education/Training Program for ANNA SPORYSHEVA (MD). Clinical services aligned with this taxonomy classification.
What location shows for ANNA SPORYSHEVA (MD)?
We surface Deerfield Beach, Florida for ANNA SPORYSHEVA (MD) based on available NPPES addresses.
What if Deerfield Beach, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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