Dr Justin Brian Sporleder, MD is a medicare enrolled "Hospitalist" physician in Superior, Wisconsin. His current practice location is
3500 Tower Ave, Superior, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(218) 786-8364.
Dr Justin Brian Sporleder is licensed to practice in Wisconsin (license number 82864-20) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1053051078.
Physician's Profile
| Full Name | Dr Justin Brian Sporleder |
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| Gender | Male |
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| Speciality | Hospitalist |
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| Location | 3500 Tower Ave, Superior, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053051078
- Provider Enumeration Date: 03/29/2022
- Last Update Date: 11/26/2025
Medicare PECOS Information:
- PECOS PAC ID: 8426438342
- Enrollment ID: I20220708001587
Medical Identifiers
Medical identifiers for Dr Justin Brian Sporleder such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1053051078 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 81160 (Minnesota) | Secondary |
| 208M00000X | Hospitalist | 81160 (Minnesota) | Secondary |
| 207Q00000X | Family Medicine | 82864-20 (Wisconsin) | Secondary |
| 208M00000X | Hospitalist | 82864-20 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Justin Brian Sporleder is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Justin Brian Sporleder, MD 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-8364 | Dr Justin Brian Sporleder, MD 3500 Tower Ave, Superior, WI 54880-4491 Ph: (218) 786-8364 |
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