Active NPI
Chanel O'Brien, DO
- Emergency Medicine Physician
- Kalamazoo, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 314330
- Practice address
- 1521 Gull Rd
Kalamazoo, MI 49048-1640 - Phone
- (269) 226-7000
- NPI assigned
- Jun 18, 2018
- Last updated
- Mar 7, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 02006932A | IN | MD | Emergency Medicine Physician |
| 5101027655 | MI | MD | Emergency Medicine Physician |
| 34.015540 | OH | MD | Emergency Medicine Physician |
| OT018434 | PA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Professional Services, Inc. | Emergency Medicine | Current | Accepting new patients |
| Ohio Emergency Care Services, Inc | Emergency Medicine | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Riverview Hospital | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Vituity-Michigan Health Services PC | Emergency Medicine | Current | Accepting new patients |
| Baptist Health Medical Group, Inc. | Emergency Medicine | Current | Accepting new patients |
| Riverview Hospital | Current | Accepting new patients | |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Vituity-Michigan Health Services PC | Emergency Medicine | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Ohio Emergency Professionals Inc | Emergency Medicine | Current | 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.
-
- Emergency Medicine Physician
- Kalamazoo, MI
- NPI 1750102323
-
- Emergency Medicine Physician
- Saginaw, MI
- NPI 1912687328
-
dba Emergency Professional Services of Ohio, Inc.
- Emergency Medicine Physician
- Seaman, OH
- NPI 1093762353
-
- Emergency Medicine Physician
- Delaware, OH
- NPI 1184028524
-
- Emergency Medicine Physician
- Columbus, OH
- NPI 1982983425
-
- Emergency Medicine Physician
- Marshall, MI
- NPI 1962223545
-
- Urgent Care Clinic/Center
- Louisville, KY
- NPI 1508269200
-
dba Dawson Springs Rural Health Clinic
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
- Family Medicine Physician
- Jeffersonville, IN
- NPI 1811648827
Emergency Medicine
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
dba University Heights Health & Living Community
- Skilled Nursing Facility
- Indianapolis, IN
- NPI 1831164995
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ascension Borgess - Pipp Hospital
- Long Term Care Hospital
- Plainwell, MI
- NPI 1154504892
Long-term care hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.