NPIMap

Individual provider Active NPI

Andrew S O'Connor, DO

  • Nephrology Physician
  • Monroe, NC
National Provider Identifier
1679581326
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
2008-00276 Issued in NC
Practice address
1640 Campus Park Dr
Suite C
Monroe, NC 28112-5283
Phone
(704) 226-0366
Fax
(704) 226-9535
NPI assigned
Aug 4, 2006
Last updated
Apr 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 34007397 OH
Nephrology Physician 207RN0300X 2008-00276 NC Primary

Addresses

Primary practice location

1640 Campus Park Dr
Suite C
Monroe, NC 28112-5283

Mailing address

1300 Baxter St Ste 215
Charlotte, NC 28204-3106
Phone (704) 332-0366

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address aoconnor66162@direct.acumenmd.com Direct
Direct Messaging Address aoconnor66162@direct.acumenmd.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080414000501 NC Practitioner - NephrologyPractitioner - Internal Medicine 9931286093 Reassigns benefits to 2 organizations
I20080417000105 SC Practitioner - Nephrology 9931286093 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Metrolina Nephrology Associates PAGroup PAC ID 8022916600, 85 clinicians

Practice addresses (Care Compare)

1640 Campus Park Dr C
Monroe, NC 28112-5284
Phone (704) 226-0366

3158 Freedom Dr
Suite 3102
Charlotte, NC 28208-0014

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34007397OHMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metrolina Nephrology Associates, PA Nephrology CurrentSince Feb 1, 2010 Accepting new patients
Carolinas Medical Center Current Accepting new patients
Carolinas Medical Center CurrentSince Oct 13, 2010 Accepting new patients
Carolinas Medical Center CurrentSince Oct 13, 2010 Accepting new patients
Southeast Renal Associates PA PastSince Jan 1, 1993 Accepting new patients
Charlotte Radiology P a PastSince Feb 1, 2010 Accepting new patients

Locations

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

1300 Baxter St
Ste 215
Charlotte, NC 28204

2711 Randolph Rd
Ste 400
Charlotte, NC 28207
Phone (704) 342-1900

2544 Court Dr
Ste F
Gastonia, NC 28054
Phone (704) 864-8302

1338 E Sunset Dr
Monroe, NC 28112
Phone (704) 289-8407

1640 Campus Park Dr
Ste C
Monroe, NC 28112
Phone (704) 226-0366

1975 Carolna Place Dr
Fort Mill, SC 29708
Phone (803) 802-3027

Interoperability endpoints

  • Direct secure messaging: aoconnor499769@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: aoconnor66162@direct.acumenmd.com

Organizations & group practices 6

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 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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1679581326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 BAXTER ST STE 215",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043106",
            "telephone_number": "704-332-0366",
            "fax_number": "704-971-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 CAMPUS PARK DR",
            "address_2": "SUITE C",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125283",
            "telephone_number": "704-226-0366",
            "fax_number": "704-226-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "ANDREW",
        "middle_name": "S",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "34007397",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "2008-00276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aoconnor66162@direct.acumenmd.com",
            "affiliation": "N",
            "endpointDescription": "Acumen Direct Messaging Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CED",
            "address_1": "1640 Campus Park Dr",
            "address_2": "Suite C",
            "city": "Monroe",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281125283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aoconnor66162@direct.acumenmd.com",
            "affiliation": "N",
            "endpointDescription": "Acumen Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CED",
            "address_1": "1640 Campus Park Dr",
            "address_2": "Suite C",
            "city": "Monroe",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281125283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

Verify at the official NPI Registry.