Individual provider Active NPI

John Patrick Hurley, DPM

  • Podiatrist
  • Amherst, NY
National Provider Identifier
1164481446
Registry record updated Dec 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
004498-1 Issued in NY
Practice address
3925 Sheridan Drive
Suite 100
Amherst, NY 14226-0000
Phone
(716) 250-9999
Fax
(716) 250-4177
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 004498-1 NY Primary

Addresses

Primary practice location

3925 Sheridan Drive
Suite 100
Amherst, NY 14226-0000

Mailing address

3925 Sheridan Drive
Suite 100
Amherst, NY 14226-0000
Phone (716) 250-9999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040729000224 NY Practitioner - Podiatry 9234109059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.79 of 100Reported as group
Quality
89.94
Promoting interoperability
88
Improvement activities
40
Cost
82.5

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004498NYMDBehavioral Analyst
004498-1NYMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Excelsior Orthopaedics, LLP CurrentSince Jul 1, 2004 Accepting new patients
Excelsior Orthopaedics LLP CurrentSince Jul 1, 2004 Accepting new patients

Locations

3925 Sheridan Dr
Buffalo, NY 14226
Phone (716) 250-6500

1515 Kensington Ave
Buffalo, NY 14215
Phone (716) 440-1118

3925 Sheridan Dr
Ste 100
Buffalo, NY 14226
Phone (716) 250-6492

Organizations & group practices 2

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261440000000",
    "number": "1164481446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 SHERIDAN DRIVE",
            "address_2": "SUITE 100",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142260000",
            "telephone_number": "716-250-9999",
            "fax_number": "716-250-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 SHERIDAN DRIVE",
            "address_2": "SUITE 100",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142260000",
            "telephone_number": "716-250-9999",
            "fax_number": "716-250-4177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURLEY",
        "first_name": "JOHN",
        "middle_name": "PATRICK",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2009-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "004498-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

Verify at the official NPI Registry.