Individual provider Active NPI

Chanel O'Brien, DO

  • Emergency Medicine Physician
  • Kalamazoo, MI
National Provider Identifier
1326532904
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
314330 Issued in NY
Practice address
1521 Gull Rd
Kalamazoo, MI 49048-1640
Phone
(269) 226-7000
NPI assigned
Jun 18, 2018
Last updated
Mar 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X OT018434 PA
Emergency Medicine Physician 207P00000X 314330 NY Primary
Emergency Medicine Physician 207P00000X 5101027655 MI
Emergency Medicine Physician 207P00000X 34.015540 OH
Emergency Medicine Physician 207P00000X 02006932A IN

Addresses

Primary practice location

1521 Gull Rd
Kalamazoo, MI 49048-1640

Mailing address

905 Calvin Ave SE
Grand Rapids, MI 49506-3232
Phone (231) 740-1488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 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
I20220513001005 OH Practitioner - Emergency Medicine 3072861533 Reassigns benefits to 3 organizations
I20240205003675 MI Practitioner - Emergency Medicine 3072861533 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

420 W High St
Dowagiac, MI 49047-1943
Phone (269) 782-8681

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02006932AINMDEmergency Medicine Physician
5101027655MIMDEmergency Medicine Physician
34.015540OHMDEmergency Medicine Physician
OT018434PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Sep 3, 2023 Accepting new patients
Ohio Emergency Care Services, Inc Emergency Medicine CurrentSince Jun 1, 2022 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients
Riverview Hospital Emergency Medicine CurrentSince Feb 9, 2023 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Feb 1, 2024 Accepting new patients
Vituity-Michigan Health Services PC Emergency Medicine CurrentSince Jan 1, 2025 Accepting new patients
Baptist Health Medical Group, Inc. Emergency Medicine CurrentSince Nov 15, 2022 Accepting new patients
Riverview Hospital CurrentSince Feb 9, 2023 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Feb 1, 2024 Accepting new patients
Vituity-Michigan Health Services PC Emergency Medicine CurrentSince Jan 1, 2025 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Nov 15, 2022 Accepting new patients
Ohio Emergency Professionals Inc Emergency Medicine CurrentSince Nov 15, 2023 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

14585 Hazel Dell Pkwy
Rm Urgent
Carmel, IN 46033
Phone (317) 214-5030

9690 E 116th St
Fishers, IN 46037
Phone (317) 214-5750

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

395 Westfield Rd
Noblesville, IN 46060
Phone (317) 218-3136

420 W High St
Dowagiac, MI 49047
Phone (269) 782-8681

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

411 Naomi St
Plainwell, MI 49080
Phone (269) 685-0700

4599 Towne Centre Rd
Saginaw, MI 48604
Phone (989) 497-3000

307 S Evergreen Ave
Woodbury, NJ 08096
Phone (856) 686-4300

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

1000 McKinley Park Dr
Marion, OH 43302
Phone (740) 383-8400

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

651 W Marion Rd
Mount Gilead, OH 43338
Phone (419) 946-5015

100 Dawn Ln
Waverly, OH 45690
Phone (740) 947-2186

Organizations & group practices 12

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 4

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": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1326532904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 CALVIN AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495063232",
            "telephone_number": "231-740-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 GULL RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481640",
            "telephone_number": "269-226-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "CHANEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "OT018434",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "314330",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101027655",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.015540",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "02006932A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.