Individual provider Active NPI

Kevin O'Brien, MD

  • Family Medicine Physician
  • Rochester, IN
National Provider Identifier
1003867771
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01036827 Issued in IN
Practice address
1432 E 9TH St
Rochester, IN 46975-8931
Phone
(574) 223-4337
Fax
(574) 406-9116
NPI assigned
May 15, 2006
Last updated
Dec 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01036827 IN Primary

Addresses

Primary practice location

1432 E 9TH St
Rochester, IN 46975-8931

Mailing address

1400 E 9TH St
Rochester, IN 46975-8937
Phone (574) 224-1048

Other practice location 1

2413 High St
Logansport, IN 46947-1637
Phone (574) 732-4609

Other identifiers 1

IdentifierTypeStateIssuer
100070980MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20060612000090 IN Practitioner - Family PracticePractitioner - Emergency Medicine 6800853045 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Indiana University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woodlawn HospitalGroup PAC ID 4082506993, shared by 17 NPIs, 30 clinicians

Practice addresses (Care Compare)

1400 E 9TH St
Rochester, IN 46975-8931

1430 E 9TH St
Rochester, IN 46975-8931

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01036827INMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Woodlawn Hospital CurrentSince Mar 1, 2017 Accepting new patients
Woodlawn Hospital CurrentSince Dec 31, 2025 Accepting new patients
Woodlawn Hospital Family Medicine Current Accepting new patients
Woodlawn Hospital Family Medicine CurrentSince Mar 1, 2017 Accepting new patients
Woodlawn Hospital CurrentSince Dec 7, 2025 Accepting new patients
Wabash Em I Medical Services PC Past Accepting new patients
Indiana Physician Management-Logansport, LLC Past Accepting new patients
Preferred Emergency Physicians Past Accepting new patients
Associated Radiologists Inc. Past Accepting new patients
Midwest Medical Management, P.C. Past Accepting new patients
Mid State Logansport Ed Physicians Past Accepting new patients
Woodlawn Hospital Past Accepting new patients

Locations

1400 E 9th St
Rochester, IN 46975
Phone (574) 223-2020

1432 E 9th St
Rochester, IN 46975
Phone (574) 223-4337

700 Main St
Rochester, IN 46975
Phone (574) 223-4337

Networks

  • IL PPO Downstate
  • KY PPO
  • IL HMO C-SNP
  • KY PPO C-SNP
  • devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
  • OH PPO

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19335/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kobrien117380@direct.parkviewexchange.com

Organizations & group practices 12

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.

Hospital & facility affiliations 6

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1003867771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E 9TH ST",
            "city": "ROCHESTER",
            "state": "IN",
            "postal_code": "469758937",
            "telephone_number": "574-224-1048",
            "fax_number": "574-406-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 E 9TH ST",
            "city": "ROCHESTER",
            "state": "IN",
            "postal_code": "469758931",
            "telephone_number": "574-223-4337",
            "fax_number": "574-406-9116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2413 High St",
            "address_purpose": "LOCATION",
            "city": "Logansport",
            "state": "IN",
            "postal_code": "469471637",
            "country_code": "US",
            "telephone_number": "574-732-4609",
            "fax_number": "574-732-1049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01036827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100070980",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, IN

Sources for this page

Verify at the official NPI Registry.