Individual provider Active NPI

Robert Cole Hurley, MD

  • Family Medicine Physician
  • Saco, ME
National Provider Identifier
1255869897
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD20433 Issued in ME
Practice address
13 Industrial Park Rd
Saco, ME 04072-1804
Phone
(072) 838-8002
NPI assigned
May 26, 2017
Last updated
Aug 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11008066-1205 UT
Family Medicine Physician 207Q00000X MD20433 ME Primary

Addresses

Primary practice location

13 Industrial Park Rd
Saco, ME 04072-1804

Mailing address

13 Industrial Park Rd
Saco, ME 04072-1804
Phone (207) 283-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20221220002182 MA Practitioner - Family Practice 8224382049 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Tufts University School of Dental Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nancy Landry PLLCGroup PAC ID 2567741887, 4 clinicians

Practice addresses (Care Compare)

1020 Broadway
Somerville, MA 02144-1819
Phone (617) 628-2160

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nancy Landry PLLC Family Medicine CurrentSince Apr 1, 2025 Accepting new patients
Medical Care of Boston Management Corporation CurrentSince Dec 1, 2022 Accepting new patients

Locations

1101 Beacon St
#4
Brookline, MA 02446
Phone (617) 396-8005

93 Pond St
Sharon, MA 02067
Phone (781) 784-9212

1020 Broadway
Somerville, MA 02144
Phone (617) 628-2160

Interoperability endpoints

  • Direct secure messaging: rhurley371373@direct.bilh.masshiway.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1495756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1255869897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 INDUSTRIAL PARK RD",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040721804",
            "telephone_number": "207-283-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 INDUSTRIAL PARK RD",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040721804",
            "telephone_number": "072-838-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURLEY",
        "first_name": "ROBERT",
        "middle_name": "COLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-26",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "11008066-1205",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "MD20433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saco, ME

Sources for this page

Verify at the official NPI Registry.