Individual provider Active NPI

Michael Robert O'Brien, M.D.

  • Internal Medicine Physician
  • King of Prussia, PA
National Provider Identifier
1215257100
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD482644 Issued in PA
Practice address
170 N Henderson Rd Ste 310
King of Prussia, PA 19406-2155
Phone
(610) 801-1805
NPI assigned
Jun 2, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 60273132 NY
Internal Medicine Physician 207R00000X MD482644 PA Primary

Addresses

Primary practice location

170 N Henderson Rd Ste 310
King of Prussia, PA 19406-2155

Mailing address

28 Saddlebrook LN
Phoenixville, PA 19460-2393
Phone (631) 255-2601

Other practice location 1

4808 Edgmont Ave
Brookhaven, PA 19015-1400
Phone (610) 876-3072

Other practice location 2

4 Jackson St
Beacon, NY 12508-3453
Phone (845) 883-8633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240206000491 PA Practitioner - Internal MedicinePractitioner - Pediatric Medicine 8820387194 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Home Visit Medical PLLCGroup PAC ID 4082133400, 2 clinicians
West Coast Wound and Skin Care IncGroup PAC ID 7315212834, 30 clinicians

Practice addresses (Care Compare)

170 N Henderson Rd
Suite 310
King of Prussia, PA 19406-2155
Phone (610) 801-1805

28 Saddlebrook LN
Phoenixville, PA 19460-2393
Phone (818) 856-9535

Hospital & facility affiliations

  • Mercy Home Health Home health agency, Newtown, PA, CCN 397015
  • Main Line Health Home Care & Hospice - Home Health Home health agency, Radnor, PA, CCN 397012
  • Bayada Home Health Care, Inc. Home health agency, Jamison, PA, CCN 397791
  • Vitacare Home Health Inc Home health agency, Feasterville, PA, CCN 397781
  • Accentcare Health of Pennsylvania Home health agency, Bristol, PA, CCN 397472
  • Humanitas Health Services Inc Hospice, Huntingdon Valley, PA, CCN 731505

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60273132NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Dec 1, 2023 Accepting new patients
Urgent Care, PC - Pennsylvania CurrentSince Dec 1, 2023 Accepting new patients
Home Visit Medical PLLC Internal Medicine CurrentSince Apr 9, 2025 Accepting new patients
West Coast Wound and Skin Care Inc CurrentSince Sep 1, 2025 Accepting new patients
Caremore Aspire Primary Care Partners, PC Past Accepting new patients
Carelon Medical Partners, PC Internal Medicine PastSince Aug 2, 2020 Accepting new patients

Locations

2501 W Burbank Blvd
Ste 200
Burbank, CA 91505
Phone (818) 732-8272

4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072

170 N Henderson Rd
Ste 310
Kng of Prussa, PA 19406
Phone (610) 481-9600

7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278

Interoperability endpoints

  • Direct secure messaging: michael.obrien@990289612832772.direct.elationemr.com

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 and National Provider Directory roles.

Hospital & facility affiliations 9

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": "1275436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1215257100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 SADDLEBROOK LN",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194602393",
            "telephone_number": "631-255-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 N HENDERSON RD STE 310",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062155",
            "telephone_number": "610-801-1805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4808 Edgmont Ave",
            "address_purpose": "LOCATION",
            "city": "Brookhaven",
            "state": "PA",
            "postal_code": "190151400",
            "country_code": "US",
            "telephone_number": "610-876-3072",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Beacon",
            "state": "NY",
            "postal_code": "125083453",
            "country_code": "US",
            "telephone_number": "845-883-8633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-02",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "60273132",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD482644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

Verify at the official NPI Registry.