Individual provider Active NPI

Thomas Kirk O'Brien, M.D.

  • Internal Medicine Physician
  • Ann Arbor, MI
National Provider Identifier
1033188545
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
406214 Issued in MI
Practice address
6276 Jackson Rd
Suite B
Ann Arbor, MI 48103-9579
Phone
(734) 663-4490
NPI assigned
Mar 16, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 406214 MI Primary

Addresses

Primary practice location

6276 Jackson Rd
Suite B
Ann Arbor, MI 48103-9579

Mailing address

6276 Jackson Rd
Suite B
Ann Arbor, MI 48103-9579
Phone (734) 663-4490

Other identifiers 1

IdentifierTypeStateIssuer
2871468MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20140521000979 MI Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 9830185628

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
406214MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chelsea Community Hospital Past Accepting new patients

Organizations & group practices 2

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1033188545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6276 JACKSON RD",
            "address_2": "SUITE B",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039579",
            "telephone_number": "734-663-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6276 JACKSON RD",
            "address_2": "SUITE B",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039579",
            "telephone_number": "734-663-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "THOMAS",
        "middle_name": "KIRK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "406214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2871468",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.