Active NPI
Guy Domm, M.D.
- Hospitalist Physician
- Fort Meade, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 10740
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10740 | SD | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera St. Mary'S | Current | Accepting new patients | |
| Avera St Marys | Current | Accepting new patients | |
| Avera St Marys | Current | Accepting new patients | |
| Armur Family Medicine, PLLC | Family Medicine | Current | Accepting new patients |
| Monument Health Network, Inc. | Current | Accepting new patients | |
| Monument Health Network, Inc. | Family Medicine | Current | 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
- 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.
-
- Family Medicine Physician
- Kannapolis, NC
- NPI 1336956879
-
- General Acute Care Hospital
- Pierre, SD
- NPI 1669457180
-
- Multi-Specialty Clinic/Center
- Hot Springs, SD
- NPI 1588185268
-
- Emergency Medicine Physician
- Pierre, SD
- NPI 1073305496
-
- Physical Therapist
- Pierre, SD
- NPI 1972082683
-
- Family Medicine Physician
- Custer, SD
- NPI 1427243963
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.