Kilby P Osborn IV, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

16882 Issued in ND

Practice address

125 Florida Memorial Pkwy Ste 2200
New Smyrna Beach, FL 32168-9309

Phone

(386) 409-6839

NPI assigned

Jul 26, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in ND, IN2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kilby.osborn.1@8793.direct.athenahealth.com

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.

• Sullivan County Community Hospital

  • Rural Health Clinic/Center
  • Sullivan, IN
  • NPI 1447805965

  Family Medicine, IN

  Medicare reassignment Care Compare group NPD
• Sullivan County Community Hospital

  • Critical Access Hospital Clinic/Center
  • Sullivan, IN
  • NPI 1487450698

  IN

  Medicare reassignment Care Compare group NPD
• Sullivan County Community Hospital

  • Clinic/Center
  • Sullivan, IN
  • NPI 1497363303

  Family Medicine, IN

  Medicare reassignment Care Compare group NPD
• Lutheran Charity Association

  • Critical Access Hospital
  • Jamestown, ND
  • NPI 1548256753

  ND

  Medicare reassignment NPD
• Lutheran Charity Association

  • Emergency Medicine Physician
  • Jamestown, ND
  • NPI 1821044652

  ND

  Medicare reassignment NPD
• Woodlawn Hospital

  • Critical Access Hospital
  • Rochester, IN
  • NPI 1265413405

  IN

  Medicare reassignment
• Woodlawn Hospital

  • Family Medicine Physician
  • Argos, IN
  • NPI 1639241227

  IN

  Medicare reassignment
• Sullivan County Community Hospital

  • Critical Access Hospital
  • Sullivan, IN
  • NPI 1497759260
  Care Compare group NPD (past)
• Sullivan County Community Hospital

  • Clinic/Center
  • Terre Haute, IN
  • NPI 1366076564
  Care Compare group
• Lutheran Charity Association

  • Diagnostic Radiology Physician
  • Jamestown, ND
  • NPI 1700038981
  NPD
• Sullivan Family Practice, LLC

  • Family Medicine Physician
  • Sullivan, IN
  • NPI 1770502981

  Family Medicine

  NPD
• Phoebe Physician Group, Inc

  • Clinic/Center
  • Albany, GA
  • NPI 1487899464
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sullivan County Community Hospital

  • Critical Access Hospital Clinic/Center
  • Sullivan, IN
  • NPI 1487450698

  Hospital

  Care Compare affiliation
• Sullivan County Community Hospital

  • Clinic/Center
  • Sullivan, IN
  • NPI 1497363303

  Hospital

  Care Compare affiliation
• Sullivan County Community Hospital

  • Critical Access Hospital
  • Sullivan, IN
  • NPI 1497759260

  Hospital

  Care Compare affiliation

Specialty

Family Practice

Education

Indiana University School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sullivan County Community Hospital 44 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sullivan County Community Hospital Hospital, Sullivan, IN, CCN 151327

Procedures performed for Medicare patients

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1205350808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 FLORIDA MEMORIAL PKWY STE 2200",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321689309",
            "telephone_number": "386-409-6839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 FLORIDA MEMORIAL PKWY STE 2200",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321689309",
            "telephone_number": "386-409-6839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1155 W Jefferson St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "IN",
            "postal_code": "461312731",
            "country_code": "US",
            "telephone_number": "317-736-6133",
            "fax_number": "317-736-6403",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2430 20th St SW",
            "address_purpose": "LOCATION",
            "city": "Jamestown",
            "state": "ND",
            "postal_code": "584016201",
            "country_code": "US",
            "telephone_number": "701-253-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 S State Road 135 Ste 200",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "IN",
            "postal_code": "461439829",
            "country_code": "US",
            "telephone_number": "317-535-1876",
            "fax_number": "317-535-5049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSBORN",
        "first_name": "KILBY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-26",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "16882",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "9562",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01094889A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME178773",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "37500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omni Nutrition LLC
• Jennifer L Onyski, PA
• Ormond Medical Arts
• Jacqueline Ortega, D.M.D
• Carly Nicole Osborn, DC
• Thomas W Ownby, MD
• Pamela'S Assiduous Medical Services LLC
• Xingyu Pan, PHARMD
• Timothy Parke, DMD, MBS
• Julie L Parker, PSYD

• All providers in New Smyrna Beach, FL
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.