Individual provider Active NPI

Elyse Katharine Hanly, MD, PHD

  • Otolaryngology Physician
  • Iowa City, IA
National Provider Identifier
1740718931
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD-49482 Issued in IA
Practice address
2615 Northgate Dr
Iowa City, IA 52245-9565
Phone
(319) 351-5680
NPI assigned
Jun 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X R-10924 IA
Otolaryngology Physician 207Y00000X MD-49482 IA Primary

Addresses

Primary practice location

2615 Northgate Dr
Iowa City, IA 52245-9565

Mailing address

2615 Northgate Dr
Iowa City, IA 52245-9565

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260127001544 NC Practitioner - Otolaryngology 7618248782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
New York Medical College, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Carolina MG LLCGroup PAC ID 1951828847, 723 clinicians
Progressive Rehabilitation Associates LLCGroup PAC ID 2961443072, 275 clinicians

Practice addresses (Care Compare)

11200 Governor Manly Way
Suite 301
Raleigh, NC 27614-7382
Phone (919) 570-5900

1130 S Scott Blvd
Iowa City, IA 52240-2909
Phone (319) 354-2429

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-49482IAMDOtolaryngology Physician
R-10924IAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina MG, LLC Otolaryngology CurrentSince Jan 5, 2026 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients

Locations

4420 Lake Boone Trl
Ste 202
Raleigh, NC 27607
Phone (919) 784-7400

11200 Governor Manly Way
Ste 301
Raleigh, NC 27614
Phone (919) 570-5900

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

Interoperability endpoints

  • Direct secure messaging: ehanly911734@direct.unitypoint.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 1

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": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1740718931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 NORTHGATE DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522459565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 NORTHGATE DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522459565",
            "telephone_number": "319-351-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANLY",
        "first_name": "ELYSE",
        "middle_name": "KATHARINE",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-01",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IA",
            "license": "R-10924",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IA",
            "license": "MD-49482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.