Individual provider Active NPI

Thomas O'Connor, MD

  • Family Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1043304306
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01031101 Issued in IN
Practice address
1435 S Mickley Ave
Indianapolis, IN 46241-3221
Phone
(317) 953-6917
Fax
(317) 832-1980
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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 01031101 IN Primary

Addresses

Primary practice location

1435 S Mickley Ave
Indianapolis, IN 46241-3221

Mailing address

1435 S Mickley Ave
Indianapolis, IN 46241-3221
Phone (317) 953-6917

Other identifiers 1

IdentifierTypeStateIssuer
100348390MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address thomas.oconnormd.p3@direct.ahni.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01031101INMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Health Network of Indiana, LLC Family Medicine Current Accepting new patients
American Health Network of Indiana LLC CurrentSince Aug 1, 2000 Accepting new patients
Major Hospital Past Accepting new patients
American Health Network of Ohio, LLC PastSince Aug 1, 1998 Accepting new patients

Locations

10689 N Pennsylvania St
Ste 200
Carmel, IN 46280
Phone (317) 580-6309

10995 Allisonville Rd
Ste 100
Fishers, IN 46038
Phone (317) 842-7928

300 E Boyd Ave
Ste 100
Greenfield, IN 46140
Phone (317) 208-3866

1550 E County Line Rd
#310
Indianapolis, IN 46227
Phone (317) 883-2220

7440 Woodland Dr
Indianapolis, IN 46278
Phone (317) 450-3357

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1043304306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 S MICKLEY AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462413221",
            "telephone_number": "317-953-6917",
            "fax_number": "317-832-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 S MICKLEY AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462413221",
            "telephone_number": "317-953-6917",
            "fax_number": "317-832-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01031101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100348390",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thomas.oconnormd.p3@direct.ahni.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "300 E Boyd Ave",
            "address_2": "Suite 100",
            "city": "Greenfield",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461402816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.