Individual provider Active NPI

Michael J. O'Brien, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • New Orleans, LA
National Provider Identifier
1104960657
Registry record updated Aug 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
MD203048 Issued in LA
Practice address
1430 Tulane Ave
Dept. of Orthopaedics, SL-32, Room 2070
New Orleans, LA 70112-2632
Phone
(504) 988-5770
Fax
(504) 988-3517
NPI assigned
Feb 17, 2007
Last updated
Aug 8, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X MD203048 LA Primary

Addresses

Primary practice location

1430 Tulane Ave
Dept. of Orthopaedics, SL-32, Room 2070
New Orleans, LA 70112-2632

Mailing address

1430 Tulane Ave
Dept. of Orthopaedics, SL-32, Room 2070
New Orleans, LA 70112-2632
Phone (504) 988-5770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20090924000623 LA Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 8224184718 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Tulane University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Administrators of the Tulane Educational FundGroup PAC ID 0446163760, shared by 3 NPIs, 388 clinicians

Practice addresses (Care Compare)

1415 Tulane Ave
New Orleans, LA 70112-2600

2000 Canal St
New Orleans, LA 70112-3018
Phone (504) 988-5224

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD203048LAMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund CurrentSince Aug 8, 2009 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Sep 20, 2017 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Aug 8, 2009 Accepting new patients

Locations

71211 Highway 21
Ste B
Covington, LA 70433
Phone (985) 893-9922

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

1430 Tulane Ave
#32
New Orleans, LA 70112
Phone (504) 988-3515

1430 Tulane Ave
#T
New Orleans, LA 70112

1430 Tulane Ave
Rm 2070
New Orleans, LA 70112
Phone (504) 988-5770

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

202 Janet Yulman Way
New Orleans, LA 70118
Phone (504) 864-1476

7030 Canal Blvd
Ste 110
New Orleans, LA 70124
Phone (504) 456-5152

Organizations & group practices 3

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": "1171670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312761600000",
    "number": "1104960657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE",
            "address_2": "DEPT. OF ORTHOPAEDICS, SL-32, ROOM 2070",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122632",
            "telephone_number": "504-988-5770",
            "fax_number": "504-988-3517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE",
            "address_2": "DEPT. OF ORTHOPAEDICS, SL-32, ROOM 2070",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122632",
            "telephone_number": "504-988-5770",
            "fax_number": "504-988-3517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "MICHAEL",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-17",
        "last_updated": "2011-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "LA",
            "license": "MD203048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.