Individual provider Active NPI

John Kevin O'Connor, M.D.

  • Radiation Oncology Physician
  • Dallas, TX
National Provider Identifier
1396709721
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
M5415 Issued in TX
Practice address
7777 Forest LN Ste D110
Dallas, TX 75230-2567
Phone
(972) 566-7031
Fax
(972) 566-2690
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X MD 200042 LA
Radiation Oncology Physician 2085R0001X M5415 TX Primary

Addresses

Primary practice location

7777 Forest LN Ste D110
Dallas, TX 75230-2567

Mailing address

PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000

Other identifiers 4

IdentifierTypeStateIssuer
8P8219OtherTXBCBS
8BR088OtherTXBCBS
187711004MedicaidTX
187711003MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20070515000518 TX Practitioner - Radiation Oncology 6608834601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Tulane University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

10425 N Central Expy
Dallas, TX 75231-2208
Phone (214) 361-2025

2026 S Jackson St
Jacksonville, TX 75766-5822
Phone (903) 586-2456

3410 Worth St
Dallas, TX 75246-2092

4708 Alliance Blvd
Suite 150
Plano, TX 75093-5339
Phone (972) 596-7801

7777 Forest LN
Dallas, TX 75230-2571
Phone (972) 566-7790

7777 Forest LN
Suite C707
Dallas, TX 75230-6861
Phone (972) 566-3000

7777 Forest LN
Suite D110
Dallas, TX 75230-2567
Phone (972) 566-7031

8196 Walnut Hill LN
Suite 100
Dallas, TX 75231-7001
Phone (214) 739-4175

PO Box
Suite 911242
Dallas, TX 75391-1242

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as apm
Quality
67.48
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 200042LAMDRadiation Oncology Physician
M5415TXMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Oncology PA Radiation Oncology CurrentSince Nov 1, 2014 Accepting new patients
Texas Oncology PA Radiation Oncology CurrentSince Nov 1, 2014 Accepting new patients
Administrators of the Tulane Educational Fund Past Accepting new patients
Slidell Memorial Hospital Past Accepting new patients
Healthtexas Provider Network-Neurosurgical Associates, LLP Radiation Oncology Past Accepting new patients

Locations

3410 Worth St
Ste 100
Dallas, TX 75246
Phone (214) 370-1000

7777 Forest Ln
Ste 110
Dallas, TX 75230
Phone (972) 566-7031

7777 Forest Ln
Ste D110
Dallas, TX 75230
Phone (972) 566-7031

8196 Walnut Hill Ln
Ste 100
Dallas, TX 75231
Phone (214) 265-2066

7777 Forest Ln
Ste C707
Dallas, TX 75230
Phone (972) 566-3000

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

4708 Alliance Blvd
Ste 150
Plano, TX 75093
Phone (972) 596-7801

Interoperability endpoints

  • Direct secure messaging: john.oconnor@txo.ikm.direct-ci.com

Organizations & group practices 5

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1396709721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753911230",
            "telephone_number": "972-997-8000",
            "fax_number": "972-234-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE D110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302567",
            "telephone_number": "972-566-7031",
            "fax_number": "972-566-2690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "JOHN",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "LA",
            "license": "MD 200042",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": "M5415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8P8219",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8BR088",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187711004",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187711003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.