Individual provider Active NPI

Michael J O'Brien, MD

  • Vascular & Interventional Radiology Physician
  • Lakewood, CO
National Provider Identifier
1720168172
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
DR.0046816 Issued in CO
Practice address
11600 W 2ND PL
Lakewood, CO 80228-1527
Phone
(720) 321-0000
Fax
(720) 321-1621
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X DR.0046816 CO
Vascular & Interventional Radiology Physician 2085R0204X DR.0046816 CO Primary

Addresses

Primary practice location

11600 W 2ND PL
Lakewood, CO 80228-1527

Mailing address

PO Box 223897
Pittsburgh, PA 15251-2897
Phone (303) 433-9729

Other identifiers 2

IdentifierTypeStateIssuer
48635227MedicaidCO
761892MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080910000357 CO Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 2163460395 Reassigns benefits to 2 organizations
I20201014001777 KS Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 2163460395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
University of Vermont College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Imaging Associates P CGroup PAC ID 6800880055, 61 clinicians
Colorado Advanced Endovascular, LLCGroup PAC ID 7416485008, 13 clinicians

Practice addresses (Care Compare)

340 Peak One Dr
Frisco, CO 80443-5587
Phone (970) 668-3300

355 Union Blvd
Suite 100
Lakewood, CO 80228-1500
Phone (720) 669-3036

401 E Spruce St
Garden City, KS 67846-5679
Phone (620) 272-2276

Hospital & facility affiliations

  • Centura Health-St Anthony Hospital Hospital, Lakewood, CO, CCN 060015
  • Centura Health-St Anthony North Health Campus Hospital, Westminster, CO, CCN 060104
  • St. Catherine Hospital - Garden City Hospital, Garden City, KS, CCN 170023
  • St Anthony Summit Medical Center Hospital, Frisco, CO, CCN 060118
  • Longmont United Hospital Hospital, Longmont, CO, CCN 060003

Merit-based Incentive Payment System (MIPS)

Final score
86.64 of 100Reported as group
Quality
86.81
Improvement activities
40
Cost
77.34

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0046816COMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Imaging Associates P C Diagnostic Radiology CurrentSince Jul 31, 2008 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Jan 1, 2014 Accepting new patients
Pahs Onpoint Imaging LLC Diagnostic Radiology CurrentSince Feb 1, 2021 Accepting new patients
Colorado Advanced Endovascular, LLC Vascular & Interventional Radiology CurrentSince Sep 24, 2024 Accepting new patients
DHHS, PHS, Naihs, Gallup Indian Medical Center Past Accepting new patients
Banner-University Medical Group Family Medicine Past Accepting new patients
Denver NMR, Inc Past Accepting new patients

Locations (25 of 50)

7375 W 52nd Ave
Ste 210
Arvada, CO 80002
Phone (720) 741-0810

16280 W 64th Ave
Arvada, CO 80007
Phone (720) 898-1110

16320 W 64th Ave
Arvada, CO 80007
Phone (303) 925-4560

1700 S Potomac St
Aurora, CO 80012
Phone (303) 418-7600

4715 Arapahoe Ave
Boulder, CO 80303
Phone (303) 385-2000

400 N Park Ave
Ste 1A
Breckenridge, CO 80424
Phone (970) 547-9200

286 16th St
Burlington, CO 80807
Phone (719) 346-5311

6031 E Woodmen Rd
Ste 200
Colorado Springs, CO 80923
Phone (719) 577-2555

310 County Road 14
Del Norte, CO 81132
Phone (719) 657-2510

1800 N Williams St
Ste 100
Denver, CO 80218
Phone (303) 285-5020

2490 W 26th Ave
Ste 10A
Denver, CO 80211
Phone (303) 331-6744

2777 Mile High Stadium Cir
Denver, CO 80211
Phone (303) 825-8822

32214 Ellingwood Trl
Ste 210
Evergreen, CO 80439
Phone (303) 679-2020

1000 Lincoln St
Fort Morgan, CO 80701
Phone (970) 542-3320

1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033

760 Warner Dr
Golden, CO 80401
Phone (303) 925-4360

1000 Granby Park Dr S
Granby, CO 80446
Phone (970) 668-5771

235 W Fletcher St
Haxtun, CO 80731
Phone (970) 351-0999

9205 S Broadway
Ste 101
Highlands Ranch, CO 80129
Phone (720) 603-4353

1805 Shea Center Dr
Ste 301
Highlands Ranch, CO 80129
Phone (303) 357-2559

3280 S Wadsworth Blvd
Lakewood, CO 80227
Phone (303) 649-3620

11700 W 2nd Pl
Ste 100
Lakewood, CO 80228
Phone (720) 321-8230

255 S Routt St
Lakewood, CO 80228
Phone (720) 321-8920

11700 W 2nd Pl
Ste 410
Lakewood, CO 80228
Phone (720) 321-8280

11650 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-5160

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9821/brand/7/csg/1/fhir/r4

Organizations & group practices 7

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1720168172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 223897",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152512897",
            "telephone_number": "303-433-9729",
            "fax_number": "303-480-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 W 2ND PL",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281527",
            "telephone_number": "720-321-0000",
            "fax_number": "720-321-1621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "DR.0046816",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CO",
            "license": "DR.0046816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "48635227",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "761892",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.