NPIMap

Individual provider Active NPI

Christopher Michael Hurley, M.D.

  • Gastroenterology Physician
  • Sioux Falls, SD
National Provider Identifier
1619972783
Registry record updated Oct 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
3798 Issued in SD
Practice address
1417 S Cliff Ave
Suite 300
Sioux Falls, SD 57105-1022
Phone
(605) 322-8630
Fax
(605) 322-8631
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 3798 SD Primary
Gastroenterology Physician 207RG0100X G88404 CA

Addresses

Primary practice location

1417 S Cliff Ave
Suite 300
Sioux Falls, SD 57105-1022

Mailing address

1417 S Cliff Ave
Suite 300
Sioux Falls, SD 57105-1022
Phone (605) 322-8630

Other identifiers 1

IdentifierTypeStateIssuer
6000342MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20051222000594 SD Practitioner - GastroenterologyPractitioner - Internal Medicine 0941222509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Loyola University of Chicago, Stritch School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

1000 E 23Rd St
Sioux Falls, SD 57105-2114

1325 S Cliff Ave
Sioux Falls, SD 57105-1007

6100 S Louise Ave
Sioux Falls, SD 57108-6029

6300 S Louise Ave
Suite 200
Sioux Falls, SD 57108-6133
Phone (605) 504-1400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy236
Upper gastrointestinal (GI) endoscopy for acid reflux286

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G88404CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan Current Accepting new patients
Avera McKennan Gastroenterology CurrentSince Feb 1, 2011 Accepting new patients
Avera McKennan CurrentSince Feb 1, 2011 Accepting new patients

Locations

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

1417 S Cliff Ave
Ste 300
Sioux Falls, SD 57105
Phone (605) 322-8630

1000 E 23rd St
Ste 100
Sioux Falls, SD 57105
Phone (605) 322-1625

Interoperability endpoints

  • Direct secure messaging: christopher.hurley@avera.sdhealthlink.net

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 24

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414454400000",
    "number": "1619972783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 S CLIFF AVE",
            "address_2": "SUITE 300",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051022",
            "telephone_number": "605-322-8630",
            "fax_number": "605-322-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 S CLIFF AVE",
            "address_2": "SUITE 300",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051022",
            "telephone_number": "605-322-8630",
            "fax_number": "605-322-8631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURLEY",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2014-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "SD",
            "license": "3798",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G88404",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000342",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.