Individual provider Active NPI

Robert T Oconnor, DO

  • Obstetrics & Gynecology Physician
  • Fort Dodge, IA
National Provider Identifier
1164494597
Registry record updated Jan 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
03070 Issued in IA
Practice address
804 Kenyon Rd
Fort Dodge, IA 50501-5742
Phone
(515) 574-6870
NPI assigned
Feb 1, 2006
Last updated
Jan 21, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 03070 IA Primary

Addresses

Primary practice location

804 Kenyon Rd
Fort Dodge, IA 50501-5742

Mailing address

804 Kenyon Rd
Ste 220
Fort Dodge, IA 50501-5744
Phone (515) 574-6890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20100225000835 IA Practitioner - Obstetrics/GynecologyPractitioner - Family Practice 2466596630 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

804 Kenyon Rd
Suite 220
Fort Dodge, IA 50501-5744
Phone (515) 574-6870

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
03070IAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Regional Medical Center CurrentSince Nov 18, 2024 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Community Health Center of Fort Dodge Inc. CurrentSince Apr 1, 2025 Accepting new patients
Iowa Physicians Clinic Medical Foundation Obstetrics & Gynecology CurrentSince Jan 1, 2017 Accepting new patients
Community Health Center of Fort Dodge, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Trinity Regional Medical Center Past Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

24 S Main St
Dayton, IA 50530
Phone (515) 547-2974

126 N 10th St
Fort Dodge, IA 50501
Phone (515) 576-6500

24 N 9th St
Ste A
Fort Dodge, IA 50501

800 Kenyon Rd
Ste S
Fort Dodge, IA 50501
Phone (515) 573-4141

802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565

802 Kenyon Rd
Ste 2A
Fort Dodge, IA 50501
Phone (515) 574-6870

804 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6870

804 Kenyon Rd
Ste 220
Fort Dodge, IA 50501
Phone (515) 573-4141

804 Kenyon Rd
Ste J
Fort Dodge, IA 50501
Phone (515) 573-7601

1010 15th St N
Humboldt, IA 50548
Phone (515) 332-2015

2015 W 5th St
Storm Lake, IA 50588
Phone (717) 732-6650

Interoperability endpoints

  • Direct secure messaging: roconnor3533@direct.unitypoint.org

Organizations & group practices 6

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": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548028800000",
    "number": "1164494597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 KENYON RD",
            "address_2": "STE 220",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015744",
            "telephone_number": "515-574-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 KENYON RD",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015742",
            "telephone_number": "515-574-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCONNOR",
        "first_name": "ROBERT",
        "middle_name": "T",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2019-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IA",
            "license": "03070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Dodge, IA

Sources for this page

Verify at the official NPI Registry.