Active NPI
Thomas Richard Hurley, M.D.
- Neurological Surgery Physician
- New Lenox, IL
National Provider Identifier
1558418103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 036-080115
- Practice address
- 1890 Silver Cross Blvd
New Lenox, IL 60451 - Phone
- (815) 723-4387
- Fax
- (815) 723-4634
- NPI assigned
- Jan 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 036-080115 | IL | Primary |
Addresses
Primary practice location
1890 Silver Cross Blvd
New Lenox, IL 60451
Mailing address
1890 Silver Cross Blvd
New Lenox, IL 60451-9518
Phone (815) 723-4387
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 206147 | Other | IL | MEDICARE (GROUP) |
| 036080115 | Medicaid | IL | |
| CA4748 | Other | IL | RAILROAD MEDICARE (INDIVIDUAL) |
| 206147202 | Other | IL | MEDICARE (INDIVIDUAL) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-080115 | IL | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chicago Institute of Neurosurgery & Neuroresearch | Neurological Surgery | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Neurological Surgery Physician
- Chicago, IL
- NPI 1326099391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536019200000",
"number": "1558418103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1890 SILVER CROSS BLVD",
"city": "NEW LENOX",
"state": "IL",
"postal_code": "604519518",
"telephone_number": "815-723-4387",
"fax_number": "815-723-4634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1890 SILVER CROSS BLVD",
"city": "NEW LENOX",
"state": "IL",
"postal_code": "60451",
"telephone_number": "815-723-4387",
"fax_number": "815-723-4634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURLEY",
"first_name": "THOMAS",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2018-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "IL",
"license": "036-080115",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE (GROUP)",
"identifier": "206147",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036080115",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE (INDIVIDUAL)",
"identifier": "CA4748",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE (INDIVIDUAL)",
"identifier": "206147202",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Lenox, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.