Active NPI
Regan Michele Tilley, D.O.
- Family Medicine Physician
- Manhattan, KS
National Provider Identifier
1275897225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 05-38045
- Practice address
- 7840 E US 24 Hwy
Manhattan, KS 66502 - Phone
- (785) 775-1155
- Fax
- (785) 775-1156
- NPI assigned
- Jun 25, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2012020612 | MO | |
| Family Medicine Physician | 207Q00000X | 05-38045 | KS | Primary |
Addresses
Primary practice location
7840 E US 24 Hwy
Manhattan, KS 66502
Mailing address
7840 E US 24 Hwy
Manhattan, KS 66502
Phone (785) 775-1155
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 068002327 | Other | KS | MEDICARE PTAN |
Other names 1
- Dr. Regan Michele Dulin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Sep 23, 2022 through Sep 23, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05-38045 | KS | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628553600000",
"number": "1275897225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7840 E US 24 HWY",
"city": "MANHATTAN",
"state": "KS",
"postal_code": "66502",
"telephone_number": "785-775-1155",
"fax_number": "785-775-1156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7840 E US 24 HWY",
"city": "MANHATTAN",
"state": "KS",
"postal_code": "66502",
"telephone_number": "785-775-1155",
"fax_number": "785-775-1156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TILLEY",
"first_name": "REGAN",
"middle_name": "MICHELE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-25",
"last_updated": "2021-08-10",
"certification_date": "2021-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2012020612",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "05-38045",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "068002327",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "REGAN",
"last_name": "DULIN",
"middle_name": "MICHELE",
"prefix": "DR.",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Manhattan, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.