Spark Medical Providers PA
NPI 1760374680 · Geriatric Medicine (Internal Medicine) Physician · St Louis Park, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Spark Medical Providers PA is a Geriatric Medicine (Internal Medicine) Physician organization in St Louis Park, MN (NPI 1760374680).
Provider details
- NPI number
- 1760374680
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Catherine Lauring, Ceo(952) 345-8770
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-07-16
- Last updated
- 2025-07-16
- Certified
- 2025-07-16
Frequently asked questions
- What is Spark Medical Providers PA's NPI number?
- Spark Medical Providers PA's National Provider Identifier (NPI) is 1760374680, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Spark Medical Providers PA?
- Spark Medical Providers PA is classified in the NPPES registry as Geriatric Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Spark Medical Providers PA located?
- Spark Medical Providers PA's practice location on file with NPPES is 5320 W 23rd St Ste 130, St Louis Park, MN 55416-1670.
- What is Spark Medical Providers PA's phone number?
- The practice phone number listed in the NPPES registry for Spark Medical Providers PA is (952) 345-8770.
- Does Spark Medical Providers PA accept Medicare?
- Spark Medical Providers PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Spark Medical Providers PA?
- The authorized official listed on Spark Medical Providers PA's NPPES record is Catherine Lauring, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Spark Medical Providers PA's NPI active?
- Yes — Spark Medical Providers PA's NPI (1760374680) is active in the NPPES registry as of the last update on 2025-07-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.