NPIMap

Individual provider Active NPI

Thomas Kriley, M.D.

  • Family Medicine Physician
  • Russell, KS
National Provider Identifier
1164868980
Registry record updated Mar 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
TL0004768 Issued in CO
Practice address
200 S Main St BLDG B
Russell, KS 67665-2920
Phone
(785) 483-3333
Fax
(785) 483-7631
NPI assigned
May 20, 2013
Last updated
Mar 8, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X TL0004768 CO Primary

Addresses

Primary practice location

200 S Main St BLDG B
Russell, KS 67665-2920

Mailing address

200 S Main St BLDG B
Russell, KS 67665-2920
Phone (785) 483-3333

Other practice location 1

807 N State St
Norton, KS 67654-1403
Phone (785) 877-3305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, KS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160608000399 CO Practitioner - Family Practice 7416180427 Reassigns benefits to 2 organizations
I20160907003018 KS Practitioner - General PracticePractitioner - Family Practice 7416180427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wray Community District HospitalGroup PAC ID 3274425038, shared by 4 NPIs, 31 clinicians

Practice addresses (Care Compare)

1017 W 7TH St
Wray, CO 80758-1420
Phone (970) 332-4811

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TL0004768COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Central Kansas Association Inc. Current Accepting new patients
Wray Community District Hospital Past Accepting new patients

Locations

200 S Main St
Russell, KS 67665
Phone (785) 483-2323

200 S Main St
#B
Russell, KS 67665
Phone (785) 483-3333

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hillcrest Care Center & the TowersWray, CO, CCN 065316 Skilled nursing facility Corporate Director
Adp of the SNF		 Feb 6, 2025
Feb 6, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1164868980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S MAIN ST BLDG B",
            "city": "RUSSELL",
            "state": "KS",
            "postal_code": "676652920",
            "telephone_number": "785-483-3333",
            "fax_number": "970-346-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S MAIN ST BLDG B",
            "city": "RUSSELL",
            "state": "KS",
            "postal_code": "676652920",
            "telephone_number": "785-483-3333",
            "fax_number": "785-483-7631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "807 N State St",
            "address_purpose": "LOCATION",
            "city": "Norton",
            "state": "KS",
            "postal_code": "676541403",
            "country_code": "US",
            "telephone_number": "785-877-3305",
            "fax_number": "970-346-2774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRILEY",
        "first_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-20",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "TL0004768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Russell, KS

Sources for this page

Verify at the official NPI Registry.