Active NPI
Dominic Vincent Hurley, MD
- Interventional Cardiology Physician
- Emporia, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 1974
- Practice address
- 1301 W 12TH Ave Ste 207
Emporia, KS 66801 - Phone
- (620) 342-4278
- NPI assigned
- Jun 27, 2005
- Last updated
- May 14, 2019
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 27785 | IA | |
| Cardiovascular Disease Physician | 207RC0000X | 1974 | SD | |
| Interventional Cardiology Physician | 207RI0011X | 27785 | IA | |
| Interventional Cardiology Physician | 207RI0011X | 1974 | SD | Primary |
Addresses
Primary practice location
1301 W 12TH Ave Ste 207
Emporia, KS 66801
Mailing address
1201 W 12TH Ave
Emporia, KS 66801-2504
Phone (620) 343-6800
Other practice location 1
409 E Meadowlark Trl
Sioux Falls, SD 57108-2986
Phone (712) 635-2797
Other practice location 2
1301 W 12th Ave Ste 207
Emporia, KS 66801
Phone (620) 342-4278
Other practice location 3
409 E Meadowlark Trl
Sioux Falls, SD 57108-2986
Phone (712) 635-2797
Other practice location 4
1301 W 12th Ave Ste 207
Emporia, KS 66801-2589
Phone (620) 342-4278
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 546090500 | Medicaid | MN | |
| 060063694 | Other | IA | RAILROAD MEDICARE |
| 07224 | Other | IA | BCBS |
| 060057374 | Other | SD | RAILROAD MEDICARE |
| 1955518 | Medicaid | IA | |
| 19D71HU | Other | MN | BCBS |
| 0006095 | Other | SD | BCBS |
| 6001954 | Medicaid | SD |
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27785 | IA | MD | Interventional Cardiology Physician |
| 1974 | SD | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Medical Services | Past | Accepting new patients | |
| Faith Regional Physician Services, LLC | Cardiovascular Disease | Past | Accepting new patients |
| Faith Regional Physician Services, LLC | Past | Accepting new patients | |
| Hurley Cardiovascular PC | Cardiovascular Disease | Past | Accepting new patients |
| LCM Pathologists PC | Past | Accepting new patients | |
| Midwest Medical Care PC | Past | Accepting new patients |
Interoperability endpoints
- dominic.hurley@newmanrhdirect.org
Organizations & group practices 6
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.
-
- Cardiovascular Disease Physician
- Sioux Falls, SD
- NPI 1598708760
-
- Family Medicine Physician
- Norfolk, NE
- NPI 1265489157
Cardiovascular Disease
-
- Anesthesiology Physician
- Norfolk, NE
- NPI 1275074577
-
- Clinical Medical Laboratory
- Sioux Falls, SD
- NPI 1770742496
-
dba MercyOne South Sioux Family Medicine
- Family Medicine Physician
- South Sioux City, NE
- NPI 1043251754
-
- Gastroenterology Physician
- Sioux Falls, SD
- NPI 1881624591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557792000000",
"number": "1609872456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 W 12TH AVE",
"city": "EMPORIA",
"state": "KS",
"postal_code": "668012504",
"telephone_number": "620-343-6800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 W 12TH AVE STE 207",
"city": "EMPORIA",
"state": "KS",
"postal_code": "66801",
"telephone_number": "620-342-4278"
}
],
"practiceLocations": [
{
"address_1": "409 E Meadowlark Trl",
"address_purpose": "LOCATION",
"city": "Sioux Falls",
"state": "SD",
"postal_code": "571082986",
"country_code": "US",
"telephone_number": "712-635-2797",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1301 W 12th Ave Ste 207",
"address_purpose": "LOCATION",
"city": "Emporia",
"state": "KS",
"postal_code": "66801",
"country_code": "US",
"telephone_number": "620-342-4278",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "409 E Meadowlark Trl",
"address_purpose": "LOCATION",
"city": "Sioux Falls",
"state": "SD",
"postal_code": "571082986",
"country_code": "US",
"telephone_number": "712-635-2797",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1301 W 12th Ave Ste 207",
"address_purpose": "LOCATION",
"city": "Emporia",
"state": "KS",
"postal_code": "668012589",
"country_code": "US",
"telephone_number": "620-342-4278",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HURLEY",
"first_name": "DOMINIC",
"middle_name": "VINCENT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-27",
"last_updated": "2019-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IA",
"license": "27785",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "SD",
"license": "1974",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "IA",
"license": "27785",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "SD",
"license": "1974",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "546090500",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "060063694",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "07224",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "060057374",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1955518",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "19D71HU",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0006095",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6001954",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Emporia, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.