Kevin James Oconnor, D.P.M.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

016003696 Issued in IL

Practice address

19801 Governors Hwy
Suite 150
Flossmoor, IL 60422-4362

Phone

(708) 799-2900

Fax

(708) 799-2919

NPI assigned

Jun 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Olympia Foot & Ankle Care, LTD.

  • Foot Surgery Podiatrist
  • Flossmoor, IL
  • NPI 1174663983
  Medicare reassignment Authorized official
• Foot and Ankle Care, LTD.

  • Foot & Ankle Surgery Podiatrist
  • Orland Park, IL
  • NPI 1730267659

  Foot Surgery

  NPD (past)
• Michigan Ave Podiatry LLC 1

  • Foot & Ankle Surgery Podiatrist
  • Chicago, IL
  • NPI 1881026185
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413331200000",
    "number": "1871521286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19801 GOVERNORS HWY",
            "address_2": "SUITE 150",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604224362",
            "telephone_number": "708-799-2900",
            "fax_number": "708-799-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19801 GOVERNORS HWY",
            "address_2": "SUITE 150",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604224362",
            "telephone_number": "708-799-2900",
            "fax_number": "708-799-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCONNOR",
        "first_name": "KEVIN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2014-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "IL",
            "license": "016003696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nu Comfort Medical Supplies LLC
• Nurturing Developing Minds
• Oasis Hospice & Palliative Care, Inc.
• Oasis House of Refuge LLC
• OB Care LLC
• Elbron Odisho, PHARMD
• April J Odom, NP
• Joshua Ogunfowora
• Sherry Plath Okeefe, PHD, LPC,NCC
• Yvonne Oldaker, CNM/APRN-FPA

• Foot Surgery Podiatrist in Flossmoor, IL
• Providers in Flossmoor, IL by specialty
• Foot Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; 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.