Kevin John O Brien, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

0541 Issued in AZ

Practice address

2302 N Stockton Hill Rd
Suite G
Kingman, AZ 86401-4100

Phone

(928) 854-4307

Fax

(928) 854-4339

NPI assigned

Oct 23, 2006

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 2

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

William M. Scholl College of Podiatric Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kingman Regional Medical Center Hospital, Kingman, AZ, CCN 030055
• Havasu Regional Medical Center Hospital, Lake Havasu City, AZ, CCN 030069

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Kevin J Obrien DPM Inc

  • Foot & Ankle Surgery Podiatrist
  • Lake Havasu City, AZ
  • NPI 1558550533
  Medicare reassignment NPD Authorized official
• Ronald B Killian DPM LLC

  • Podiatrist
  • Lake Havasu City, AZ
  • NPI 1821275355
  NPD (past)

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

• Havasu Regional Medical Center LLC

  • Rural Acute Care Hospital
  • Lake Havasu City, AZ
  • NPI 1780761866
  Care Compare affiliation
• Kingman Healthcare, Inc

  • General Acute Care Hospital
  • Kingman, AZ
  • NPI 1265423917
  Care Compare affiliation

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533168000000",
    "number": "1568545481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 N STOCKTON HILL RD",
            "address_2": "SUITE G",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864014100",
            "telephone_number": "928-854-4307",
            "fax_number": "928-854-4339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 N STOCKTON HILL RD",
            "address_2": "SUITE G",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864014100",
            "telephone_number": "928-854-4307",
            "fax_number": "928-854-4339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "297 Lake Havasu Ave S",
            "address_2": "Suite 106",
            "address_purpose": "LOCATION",
            "city": "Lake Havasu City",
            "state": "AZ",
            "postal_code": "864036526",
            "country_code": "US",
            "telephone_number": "928-854-4307",
            "fax_number": "928-854-4339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O BRIEN",
        "first_name": "KEVIN",
        "middle_name": "JOHN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2018-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "0541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00156933",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "572124",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northern Arizona Medical Group, PLLC
• Northern Arizona Physical Therapy Associates
• Charles R Norwood, PHARMD
• Erin Novak, PA-C
• Sarah Novak, CCC-SLP
• Amy Oberg, PHD
• Ryan Obregon, RPH
• Melissa Ogden, FNP
• Abhinav Ohri
• Brad David Oliverson, D.O.

• Foot & Ankle Surgery Podiatrist in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Foot & Ankle Surgery Podiatrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; 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.