Individual provider Active NPI

Michael O'Bryan, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Olathe, KS
National Provider Identifier
1104207091
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
04-42408 Issued in KS
Practice address
13875 W 115TH Ter
Olathe, KS 66062-7937
Phone
(913) 323-7107
NPI assigned
Jun 16, 2015
Last updated
Apr 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 94-08628 KS
Physical Medicine & Rehabilitation Physician 208100000X 04-42408 KS Primary

Addresses

Primary practice location

13875 W 115TH Ter
Olathe, KS 66062-7937

Mailing address

13875 W 115TH Ter
Olathe, KS 66062-7937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 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
I20190912000832 KS Practitioner - Physical Medicine and Rehabilitation 0345554440 Reassigns benefits to 3 organizations
I20210804000765 MO Practitioner - Physical Medicine and Rehabilitation 0345554440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Kansas School of Med (KC/Wich/Sal), 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability KCGroup PAC ID 0143116368, 166 clinicians
Integrated Rehab Consultants LLCGroup PAC ID 7810184892, 162 clinicians

Practice addresses (Care Compare)

11111 Nall Ave
Suite 103
Leawood, KS 66211-1625
Phone (913) 322-8859

3011 Baltimore Ave
Kansas City, MO 64108-3403
Phone (816) 751-7832

4600 Little Blue Pkwy
Independence, MO 64057-8302
Phone (312) 635-0973

8505 Pflumm Rd
Lenexa, KS 66215-2468
Phone (312) 635-0973

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.28 of 100Reported as group
Quality
73.83
Improvement activities
40
Cost
45.57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
94-08628KSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehab Consultants PA Physical Medicine & Rehabilitation CurrentSince Nov 1, 2025 Accepting new patients
Integrated Rehab Consultants LLC Physical Medicine & Rehabilitation CurrentSince Aug 4, 2019 Accepting new patients
Integrated Rehab Consultants LLC Physical Medicine & Rehabilitation CurrentSince Aug 4, 2019 Accepting new patients
O Bryan Rehab LLC Physical Medicine & Rehabilitation CurrentSince Jan 1, 2026 Accepting new patients
Prime Healthcare Services - Kansas City, LLC Past Accepting new patients
Prime Healthcare Services Kansas City, LLC Past Accepting new patients

Locations

13800 W 116th St
Olathe, KS 66062
Phone (913) 323-7100

17500 W 119th St
Olathe, KS 66061
Phone (913) 213-1686

21250 W 151st St
Olathe, KS 66061
Phone (201) 654-3130

11111 Nall Ave
Ste 103
Overland Park, KS 66211
Phone (888) 778-9471

12100 W 109th St
Shawnee Mission, KS 66210
Phone (913) 469-4210

5100 Indian Creek Pkwy
Shawnee Mission, KS 66207
Phone (913) 544-1957

4600 Little Blue Pkwy
Independence, MO 64057
Phone (816) 795-7888

1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400

904 E 68th St
Kansas City, MO 64131
Phone (816) 333-5485

Organizations & group practices 7

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 2

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": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1104207091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13875 W 115TH TER",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660627937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13875 W 115TH TER",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660627937",
            "telephone_number": "913-323-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRYAN",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-16",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "94-08628",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "KS",
            "license": "04-42408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.