NPIMap

Individual provider Active NPI

Dennis M Hurford, MD

  • Obstetrics & Gynecology Physician
  • Glen Carbon, IL
National Provider Identifier
1497708259
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036097153 Issued in IL
Practice address
2246 S State Route 157 Ste 100
Glen Carbon, IL 62034-1717
Phone
(618) 288-9251
Fax
(618) 288-6900
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036097153 IL Primary

Addresses

Primary practice location

2246 S State Route 157 Ste 100
Glen Carbon, IL 62034-1717

Mailing address

2246 Illinois State Route 157
Suite 100
Glen Carbon, IL 62034
Phone (618) 288-9251

Other identifiers 1

IdentifierTypeStateIssuer
036097153MedicaidIL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031229000145 IL Practitioner - Obstetrics/Gynecology 5294633376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Missouri, Kansas City, School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anderson Medical Group LLCGroup PAC ID 5193792018, 136 clinicians

Practice addresses (Care Compare)

2246 S State Route 157
Suite 100
Glen Carbon, IL 62034-1717
Phone (618) 288-9251

Hospital & facility affiliations

  • Anderson Hospital Hospital, Maryville, IL, CCN 140289
  • Barnes-Jewish West County Hospital Hospital, Creve Coeur, MO, CCN 260162
  • Community Hospital of Staunton Hospital, Staunton, IL, CCN 141306
  • Gateway Regional Medical Center Hospital, Granite City, IL, CCN 140125
  • Barnes Jewish Hospital Hospital, Saint Louis, MO, CCN 260032

Merit-based Incentive Payment System (MIPS)

Final score
74.76 of 100Reported as group
Quality
54.98
Promoting interoperability
85
Improvement activities
40
Cost
73.39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036097153ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Medical Group, LLC Obstetrics & Gynecology CurrentSince Jan 1, 2022 Accepting new patients
Granite City Physicians Corp Past Accepting new patients
James J. Dalla Riva, MD, PC Past Accepting new patients

Locations

2246 S State Route 157
Ste 100
Glen Carbon, IL 62034
Phone (618) 288-9251

2100 Madison Ave
Granite City, IL 62040
Phone (618) 798-3000

1212 Broadway
Highland, IL 62249
Phone (618) 651-0022

6810 State Route 162
Ste 215
Maryville, IL 62062
Phone (618) 391-6405

6810 State Route 162
Ste 301
Maryville, IL 62062
Phone (618) 288-2970

400 N Caldwell St
Ste 210
Staunton, IL 62088
Phone (618) 635-4200

Interoperability endpoints

  • Direct secure messaging: dhurford@yourcarecommunity.org

Organizations & group practices 3

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.

Hospital & facility affiliations 9

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1497708259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2246 ILLINOIS STATE ROUTE 157",
            "address_2": "SUITE 100",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "62034",
            "telephone_number": "618-288-9251",
            "fax_number": "618-288-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2246 S STATE ROUTE 157 STE 100",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620341717",
            "telephone_number": "618-288-9251",
            "fax_number": "618-288-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURFORD",
        "first_name": "DENNIS",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036097153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036097153",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Carbon, IL

Sources for this page

Verify at the official NPI Registry.