Matthew Maximilian O'Brien, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C10005808 Issued in DE

Practice address

1401 Foulk Rd
Ste 202
Wilmington, DE 19803-2763

Phone

(302) 478-5650

Fax

(302) 477-0455

NPI assigned

Jun 6, 2006

Last updated

Jul 24, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DE

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

Specialty

Family Practice

Education

Jefferson Medical College of Thomas Jefferson University, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayada Home Health Care, Inc Home health agency, Wilmington, DE, CCN 087021
• Christianacare Homehealth Home health agency, Wilmington, DE, CCN 087002
• Christiana Hospital Hospital, Newark, DE, CCN 080001
• Riddle Memorial Hospital Hospital, Media, PA, CCN 390222

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Brandywine Hundred Family Medicine, LLC

  • Family Medicine Physician
  • Wilmington, DE
  • NPI 1235186081
  Medicare reassignment NPD
• KLC Support Services, LLC

  • Professional Counselor
  • Montchanin, DE
  • NPI 1215301494
  NPD (past)

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

• Christiana Care Home Health and Community Services, Inc.

  dba Christiana Care Visiting Nurse Association

  • Home Health Agency
  • Wilmington, DE
  • NPI 1437152154
  Care Compare affiliation Name & address match
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Wilmington, DE
  • NPI 1245277219
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Newark, DE
  • NPI 1366473969
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  dba BAYADA Pediatrics

  • Home Health Agency
  • New Castle, DE
  • NPI 1447281043
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  dba BAYADA Pediatrics

  • Home Health Agency
  • Milford, DE
  • NPI 1780810424
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Wilmington, DE
  • NPI 1821029422
  Care Compare affiliation
• Christiana Care Health Services, Inc.

  dba Christiana Care

  • General Acute Care Hospital
  • Wilmington, DE
  • NPI 1134194038
  Care Compare affiliation
• Riddle Memorial Hospital

  • General Acute Care Hospital
  • Media, PA
  • NPI 1407856099
  Care Compare affiliation

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374624000000",
    "number": "1417996935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 FOULK RD",
            "address_2": "STE 202",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198032763",
            "telephone_number": "302-478-5650",
            "fax_number": "302-477-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 FOULK RD",
            "address_2": "STE 202",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198032763",
            "telephone_number": "302-478-5650",
            "fax_number": "302-477-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "MATTHEW",
        "middle_name": "MAXIMILIAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2013-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C10005808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "G02363B01",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dorothy Nyabiosi
• Derica Nyameke, PMHNP
• Alice Rowan O'Brien, LPCMH
• Caitlin Rose O'Brien
• Juliana C. O'Brien, APN
• Rachel O'Brien, M.S., CF-SLP
• Ada Jenness O'Connor, RPH
• Ashley Marie O'Connor
• Donna O'Connor
• Stefan S. O'Connor, M.D.

• Family Medicine Physician in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Family Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.