Individual provider Active NPI

Robert O'Connell, M.D.

  • Internal Medicine Physician
  • Lackland a F B, TX
National Provider Identifier
1629030135
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD070301L Issued in PA
Practice address
2200 Bergquist Dr
Attn: Credentials (CMC)
Lackland a F B, TX 78236-9907
Phone
(210) 292-6707
NPI assigned
Apr 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD070301L PA Primary

Addresses

Primary practice location

2200 Bergquist Dr
Attn: Credentials (CMC)
Lackland a F B, TX 78236-9907

Mailing address

2200 Bergquist Dr
Lackland Afb, TX 78236-9907
Phone (210) 292-6707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20260126001230 WI Practitioner - Internal Medicine 0547684060 Reassigns benefits to 15 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Pittsburgh School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspirus Wausau Hospital IncGroup PAC ID 6406757442, 242 clinicians

Practice addresses (Care Compare)

333 Pine Ridge Blvd
Wausau, WI 54401-4102
Phone (715) 847-2866

Hospital & facility affiliations

  • Aspirus Wausau Hospital Hospital, Wausau, WI, CCN 520030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD070301LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Wausau Hospital, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin CurrentSince Jan 1, 2026 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Aspirus Eagle River Hospital, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Aspirus Eagle River Hospital & Clinics, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Aspirus Stanley Hospital & Clinics, Inc CurrentSince Jan 1, 2026 Accepting new patients
Langlade Hospital - Hotel Dieu of St. Joseph of Antigo Wisconsin CurrentSince Jan 1, 2026 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Aspirus Stanley Hospital & Clinics, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Jan 1, 2026 Accepting new patients
The Howard Young Medical Center, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. Past Accepting new patients
Langlade Memorial Hospital Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

112 E 5th Ave
Antigo, WI 54409
Phone (715) 623-2331

400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318

201 Hospital Rd
Eagle River, WI 54521
Phone (715) 477-3000

135 S Gibson St
Medford, WI 54451
Phone (715) 748-8100

601 S Center Ave
Merrill, WI 54452
Phone (715) 536-5511

2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598

2251 N Shore Dr
Rhinelander, WI 54501
Phone (715) 361-2300

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

1120 Pine St
Stanley, WI 54768
Phone (715) 644-5530

209 Prentice St N
Stevens Point, WI 54481
Phone (715) 344-4611

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700

190 Grand Seasons Dr
Waupaca, WI 54981
Phone (715) 258-3401

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

420 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-7474

240 Maple St
Woodruff, WI 54568
Phone (715) 356-8000

Organizations & group practices 29

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.

View all 29

Hospital & facility affiliations 10

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": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1629030135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 BERGQUIST DR",
            "city": "LACKLAND AFB",
            "state": "TX",
            "postal_code": "782369907",
            "telephone_number": "210-292-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 BERGQUIST DR",
            "address_2": "ATTN: CREDENTIALS (CMC)",
            "city": "LACKLAND A F B",
            "state": "TX",
            "postal_code": "782369907",
            "telephone_number": "210-292-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNELL",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD070301L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lackland a F B, TX

Sources for this page

Verify at the official NPI Registry.