Individual provider Active NPI

John J O'Connor, D.O.

  • Specialist
  • Sellersville, PA
National Provider Identifier
1649249806
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
OS008988L Issued in PA
Practice address
817 Lawn Ave
Sellersville, PA 18960-1579
Phone
(215) 257-5071
Fax
(215) 257-4378
NPI assigned
Mar 17, 2006
Last updated
Sep 6, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X OS008988L PA Primary

Addresses

Primary practice location

817 Lawn Ave
Sellersville, PA 18960-1579

Mailing address

815 Sumneytown Pike Ste 210
Lansdale, PA 19446-5390
Phone (215) 257-5071

Other practice location 1

815 Sumneytown Pike Ste 210
Lansdale, PA 19446-5390
Phone (215) 257-5071

Other identifiers 1

IdentifierTypeStateIssuer
07705099MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Sellersville Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20120215000316 PA Practitioner - GastroenterologyPractitioner - Internal Medicine 6608894282 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regional Gastroenterology Associates of Lancaster, LTD.Group PAC ID 4688575434, 248 clinicians

Practice addresses (Care Compare)

815 Sumneytown Pike
Lansdale, PA 19446-5390
Phone (215) 257-5071

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy368
Upper gastrointestinal (GI) endoscopy for acid reflux272

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS008988LPAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Gastroenterology Associates of Lancaster, LTD. CurrentSince Apr 1, 2021 Accepting new patients
Regional Gastroenterology Associates of Lancaster, LTD. CurrentSince Apr 1, 2021 Accepting new patients

Locations

190 W Germantown Pike
Ste 110
East Norriton, PA 19401
Phone (215) 257-5071

2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500

815 Sumneytown Pike
Ofc Cgi
Lansdale, PA 19446
Phone (215) 257-5071

817 Lawn Ave
Sellersville, PA 18960
Phone (215) 257-5071

100 E Lancaster Ave
Ste 252
Wynnewood, PA 19096
Phone (610) 896-7360

Interoperability endpoints

  • Direct secure messaging: jo'connor@cgi.medentdirect.com

Organizations & group practices 3

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 5

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1649249806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 SUMNEYTOWN PIKE STE 210",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194465390",
            "telephone_number": "215-257-5071",
            "fax_number": "215-257-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 LAWN AVE",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601579",
            "telephone_number": "215-257-5071",
            "fax_number": "215-257-4378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "815 Sumneytown Pike Ste 210",
            "address_purpose": "LOCATION",
            "city": "Lansdale",
            "state": "PA",
            "postal_code": "194465390",
            "country_code": "US",
            "telephone_number": "215-257-5071",
            "fax_number": "215-257-1801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "JOHN",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "OS008988L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07705099",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Sellersville",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Sellersville",
            "address_1": "817 Lawn Ave",
            "city": "Sellersville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "189601579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sellersville, PA

Sources for this page

Verify at the official NPI Registry.