Active NPI
Kotomi Obayashi, DO
- Interventional Pain Medicine Physician
- Green Bay, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 81476
- Practice address
- 2845 Greenbrier Rd
Green Bay, WI 54311-6519 - Phone
- (920) 288-8377
- Fax
- (920) 288-8385
- NPI assigned
- Jun 16, 2020
- Last updated
- Oct 22, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | 81476 | WI | Primary |
Addresses
Primary practice location
2845 Greenbrier Rd
Green Bay, WI 54311-6519
Mailing address
1035 Kepler Dr
Green Bay, WI 54311-8320
Phone (920) 490-9046
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20095 Gilbert Rd
Suite B
Big Rapids, MI 49307-2366
Phone (231) 592-1360
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020014565 | MO | MD | Internal Medicine Physician |
| 5101028775 | MI | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Primary Care Partners P C | Internal Medicine | Current | Accepting new patients |
Locations
20095 Gilbert Rd
Big Rapids, MI 49307
Phone (231) 305-4095
20095 Gilbert Rd
Ste B
Big Rapids, MI 49307
Phone (231) 408-3208
Interoperability endpoints
- https://api.platform.athenahealth.com/17442/brand/2/csg/1/fhir/r4
Organizations & group practices 1
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.
-
dba West Michigan Pain
- Internal Medicine Physician
- Big Rapids, MI
- NPI 1366497380
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Corewell Health Big Rapids Hospital
- General Acute Care Hospital
- Big Rapids, MI
- NPI 1316945991
-
dba Corewell Health Reed City Hospital
- Critical Access Hospital
- Reed City, MI
- NPI 1437259843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792627200000",
"number": "1609491513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 KEPLER DR",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543118320",
"telephone_number": "920-490-9046",
"fax_number": "920-405-8005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2845 GREENBRIER RD",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543116519",
"telephone_number": "920-288-8377",
"fax_number": "920-288-8385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBAYASHI",
"first_name": "KOTOMI",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-16",
"last_updated": "2026-10-22",
"certification_date": "2026-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "WI",
"license": "81476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Green Bay, WI
- Margaret O'Toole, D.C
- Michael C O'Toole, MD
- Oak Grove Dental Associates, LLC
- Oak Grove Dental Associates, LLC
- OB-GYN Assoc of Green Bay LTD
- Elizabeth Oberndorfer
- Padraic Rory Obma, M.D.
- Kylene Elizabeth Occhietti, LICSW
- Occupational Health Centers of the Southwest P.a. (Concentra Medical Centers)
- Occupational Health Centers of the Southwest P.a. (Concentra Medical Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2026; 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.