Active NPI
David William O'Brian, D.P.M.
- Podiatrist
- Streamwood, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 016-003127
- Practice address
- 31 S Sutton Rd
Streamwood, IL 60107-3367 - Phone
- (630) 830-2155
- Fax
- (630) 246-3398
- NPI assigned
- Nov 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 016-003127 | IL | Primary |
Addresses
Primary practice location
31 S Sutton Rd
Streamwood, IL 60107-3367
Mailing address
705 Warrenville Rd Ste B
Wheaton, IL 60189-6379
Phone (630) 668-8277
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 480022179 | Other | IL | RAILROAD MEDICARE |
| 22900-99 | Other | IL | BLUE CROSS & BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2124 Ogden Ave
Suite 101
Aurora, IL 60504-7542
Phone (630) 585-8087
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 15 |
| Removal of nail tissue | 306 |
| Removal or shaving of skin growth | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016-003127 | IL | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Podiatry Center | Current | Accepting new patients | |
| Northwest Podiatry Center | Current | Accepting new patients |
Locations
2124 Ogden Ave
Ste 101
Aurora, IL 60504
Phone (630) 585-8087
3254 Sycamore Rd
DeKalb, IL 60115
Phone (815) 756-9491
13312 Village Green Dr
Huntley, IL 60142
Phone (847) 515-2030
7954 W Oakton St
Niles, IL 60714
Phone (708) 823-5510
234 Randall Rd
South Elgin, IL 60177
Phone (847) 608-9494
31 S Sutton Rd
Streamwood, IL 60107
Phone (630) 830-2155
705 Warrenville Rd
Ste B
Wheaton, IL 60189
Phone (630) 668-8277
Organizations & group practices 2
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.
-
- Foot & Ankle Surgery Podiatrist
- Wheaton, IL
- NPI 1316030943
-
- Durable Medical Equipment & Medical Supplies
- Huntley, IL
- NPI 1720538879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664755200000",
"number": "1821165135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 WARRENVILLE RD STE B",
"city": "WHEATON",
"state": "IL",
"postal_code": "601896379",
"telephone_number": "630-668-8277",
"fax_number": "630-246-3398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 S SUTTON RD",
"city": "STREAMWOOD",
"state": "IL",
"postal_code": "601073367",
"telephone_number": "630-830-2155",
"fax_number": "630-246-3398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRIAN",
"first_name": "DAVID",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2022-10-03",
"certification_date": "2022-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IL",
"license": "016-003127",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "480022179",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "22900-99",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Streamwood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.