Individual provider Active NPI

Guy Domm, M.D.

  • Hospitalist Physician
  • Fort Meade, SD
National Provider Identifier
1104243427
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
10740 Issued in SD
Practice address
113 Comanche Rd
Fort Meade, SD 57741-1002
Phone
(605) 347-2511
NPI assigned
Mar 25, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 10740 SD Primary

Addresses

Primary practice location

113 Comanche Rd
Fort Meade, SD 57741-1002

Mailing address

Black Hills Health Care Center
113 Comanche Rd
Fort Mead, SD 57741
Phone (605) 347-2511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, NC2 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
I20180619002754 SD Practitioner - Family Practice 9931320975 Reassigns benefits to 2 organizations
I20250429000348 NC Practitioner - Family Practice 9931320975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Armur Family Medicine PLLCGroup PAC ID 5496271934, 2 clinicians

Practice addresses (Care Compare)

1610 Dale Earnhardt Blvd
Kannapolis, NC 28083-3210
Phone (980) 340-9505

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10740SDMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avera St. Mary'S CurrentSince Dec 1, 2021 Accepting new patients
Avera St Marys Current Accepting new patients
Avera St Marys CurrentSince Dec 1, 2021 Accepting new patients
Armur Family Medicine, PLLC Family Medicine CurrentSince Feb 23, 2025 Accepting new patients
Monument Health Network, Inc. CurrentSince May 12, 2018 Accepting new patients
Monument Health Network, Inc. Family Medicine CurrentSince May 12, 2018 Accepting new patients

Locations

1610 Dale Earnhardt Blvd
Kannapolis, NC 28083
Phone (980) 340-9505

1220 Montgomery St
Custer, SD 57730
Phone (605) 673-4150

61 Charles St
Deadwood, SD 57732
Phone (605) 717-6000

1440 N Main St
Spearfish, SD 57783
Phone (605) 644-4000

2140 Junction Ave
Sturgis, SD 57785
Phone (605) 720-2400

Interoperability endpoints

  • Direct secure messaging: guy.domm@398502138740740.direct.elationemr.com

Organizations & group practices 6

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": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1104243427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BLACK HILLS HEALTH CARE CENTER",
            "address_2": "113 COMANCHE RD",
            "city": "FORT MEAD",
            "state": "SD",
            "postal_code": "57741",
            "telephone_number": "605-347-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 COMANCHE RD",
            "city": "FORT MEADE",
            "state": "SD",
            "postal_code": "577411002",
            "telephone_number": "605-347-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMM",
        "first_name": "GUY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-25",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "SD",
            "license": "10740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Meade, SD

Sources for this page

Verify at the official NPI Registry.