Individual provider Active NPI

Dominic Vincent Hurley, MD

  • Interventional Cardiology Physician
  • Emporia, KS
National Provider Identifier
1609872456
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
1974 Issued in SD
Practice address
1301 W 12TH Ave Ste 207
Emporia, KS 66801
Phone
(620) 342-4278
NPI assigned
Jun 27, 2005
Last updated
May 14, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
546090500MedicaidMN
060063694OtherIARAILROAD MEDICARE
07224OtherIABCBS
060057374OtherSDRAILROAD MEDICARE
1955518MedicaidIA
19D71HUOtherMNBCBS
0006095OtherSDBCBS
6001954MedicaidSD

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
27785IAMDInterventional Cardiology Physician
1974SDMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Services Past Accepting new patients
Faith Regional Physician Services, LLC Cardiovascular Disease PastSince Dec 28, 2015 Accepting new patients
Faith Regional Physician Services, LLC Past Accepting new patients
Hurley Cardiovascular PC Cardiovascular Disease PastSince Jan 1, 1990 Accepting new patients
LCM Pathologists PC Past Accepting new patients
Midwest Medical Care PC PastSince Mar 1, 2018 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.