Michael Kevin O'Brien, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

035075 Issued in CT

Practice address

60 Temple St
Suite 5a
New Haven, CT 06510-2716

Phone

(203) 772-0650

Fax

(203) 785-9097

NPI assigned

Jul 17, 2006

Last updated

Jan 8, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

General Surgery

Education

Wake Forest University School of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Surgical Associates of New Haven PCGroup PAC ID 6608990155, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mobrien4137@direct.ynhh.org

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.

• Surgical Associates of New Haven, PC

  • Surgery Physician
  • New Haven, CT
  • NPI 1255487989
  Medicare reassignment Care Compare group NPD

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

• Yale New Haven Hospital

  • General Acute Care Hospital
  • New Haven, CT
  • NPI 1336139500
  Care Compare affiliation
• Yale New Haven Hospital

  • General Acute Care Hospital
  • New Haven, CT
  • NPI 1578778726
  Care Compare affiliation

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357603200000",
    "number": "1730107061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 TEMPLE ST",
            "address_2": "SUITE 5A",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065102716",
            "telephone_number": "203-772-0650",
            "fax_number": "203-785-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 TEMPLE ST",
            "address_2": "SUITE 5A",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065102716",
            "telephone_number": "203-772-0650",
            "fax_number": "203-785-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "MICHAEL",
        "middle_name": "KEVIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2013-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CT",
            "license": "035075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001405150",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele N. Nyman Harris, LCSW
• Soumya Nyshadham, MD
• Karin Verna Nystrom, APRN
• Dia O'Brien, APRN
• Matthew Patrick O'Brien, MD
• Samuel O'Brien
• Yvonne O'Brien, LICSW
• Arlene O'Callahan, LPN
• Ciara Kiernan O'Connell, MD
• Lucy O'Connell, C.N.M., W.H.N.P, R.N

• Surgery Physician in New Haven, CT
• Providers in New Haven, CT by specialty
• Surgery Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; 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.

Verify at the official NPI Registry.