Individual provider Active NPI

Samuel James Dunleavy, MD

  • Emergency Medicine Physician
  • Fort Riley, KS
National Provider Identifier
1982108619
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
CDRH.0068833 Issued in CO
Practice address
650 Huebner Rd
Fort Riley, KS 66442-4030
Phone
(785) 239-3627
NPI assigned
Mar 19, 2018
Last updated
Jun 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X CDRH.0068833 CO
Emergency Medicine Physician 207P00000X CDRH.0068833 CO Primary

Addresses

Primary practice location

650 Huebner Rd
Fort Riley, KS 66442-4030

Mailing address

650 Huebner Rd
Fort Riley, KS 66442-4030
Phone (785) 239-3627

Other names 1

  • James Dunleavy Yeaton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220708001193 CO Practitioner - Emergency Medicine 0840549325 Reassigns benefits to 5 organizations
I20250417002889 KS Practitioner - Emergency Medicine 0840549325 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Labette County Medical CenterGroup PAC ID 5496664369, 74 clinicians
Carepoint Emergency Medicine Kansas LLCGroup PAC ID 9537440367, 79 clinicians

Practice addresses (Care Compare)

1902 S US Hwy 59
ER Group
Parsons, KS 67357-4948
Phone (620) 421-4880

550 N Hillside St
Wichita, KS 67214-4910
Phone (316) 962-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.65 of 100Reported as group
Quality
86.65
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.65 of 100Reported as group
Quality
92.15
Promoting interoperability
100
Improvement activities
40
Cost
80.02

Merit-based Incentive Payment System (MIPS)

Final score
93.85 of 100Reported as group
Quality
91.15
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CDRH.0068833COMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs Community Emergency Services of Colorado, Inc. Emergency Medicine CurrentSince May 10, 2023 Accepting new patients
Usacs Community Emergency Services of Colorado, Inc. Emergency Medicine CurrentSince May 10, 2023 Accepting new patients
Usacs of Colorado Inc Emergency Medicine CurrentSince May 10, 2023 Accepting new patients
Usacs Observation Medicine Services of Colorado Inc. Emergency Medicine CurrentSince May 10, 2023 Accepting new patients
Labette County Medical Center CurrentSince Dec 26, 2025 Accepting new patients
Labette County Medical Center CurrentSince Dec 26, 2025 Accepting new patients
Premier Emergency Services, Inc Emergency Medicine CurrentSince May 10, 2023 Accepting new patients
Carepoint Emergency Medicine Kansas LLC Emergency Medicine CurrentSince Apr 15, 2025 Accepting new patients
Denver Health and Hospital Authority CurrentSince Jun 1, 2022 Accepting new patients
Usacs Observation Medicine Services of Colorado Inc. Emergency Medicine Current Accepting new patients
Usacs Observation Medicine Services of Colorado Inc. CurrentSince May 10, 2023 Accepting new patients
Denver Health and Hospital Authority CurrentSince Jun 1, 2022 Accepting new patients
Usacs of Colorado Inc Emergency Medicine CurrentSince May 10, 2023 Accepting new patients
Usacs of Colorado, Inc Emergency Medicine Current Accepting new patients
Labette County Medical Center Current Accepting new patients
Premier Emergency Services, Inc Emergency Medicine CurrentSince May 10, 2023 Accepting new patients
Medical Group of the Ozarks LLC Emergency Medical Services Past Accepting new patients

Locations

2350 Meadows Blvd
Castle Rock, CO 80109
Phone (720) 248-3413

7000 E Hampden Ave
Denver, CO 80224
Phone (330) 925-4199

777 Bannock St
Denver, CO 80204

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786

2551 W 84th Ave
Westminster, CO 80031
Phone (303) 202-1280

221 W US Highway 54
Andover, KS 67002
Phone (316) 962-5100

2648 N Rock Rd
Derby, KS 67037
Phone (316) 962-2000

1902 S US Highway 59
Parsons, KS 67357
Phone (620) 421-4880

2610 N Woodlawn Blvd
Wichita, KS 67220
Phone (316) 684-3838

550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239

8714 W 13th St N
Wichita, KS 67212
Phone (316) 962-9900

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 3

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": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1982108619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 HUEBNER RD",
            "city": "FORT RILEY",
            "state": "KS",
            "postal_code": "664424030",
            "telephone_number": "785-239-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 HUEBNER RD",
            "city": "FORT RILEY",
            "state": "KS",
            "postal_code": "664424030",
            "telephone_number": "785-239-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNLEAVY",
        "first_name": "SAMUEL",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-19",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "CO",
            "license": "CDRH.0068833",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "CDRH.0068833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMES",
            "last_name": "YEATON",
            "middle_name": "DUNLEAVY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Riley, KS

Sources for this page

Verify at the official NPI Registry.