Michael J O'Brien, M.D.

Primary specialty

Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X

License

213465 Issued in MA

Practice address

319 Longwood Ave
6TH Floor
Boston, MA 02115-5728

Phone

(617) 355-3501

Fax

(617) 355-0176

NPI assigned

Jul 10, 2006

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 MA

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

Sports MedicineAlso: Internal Medicine

Education

State University of New York at Buffalo School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Children'S Sports Medicine Foundation IncGroup PAC ID 7719901198, 34 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: mobrien26493@direct.bostonchildrens.org

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.

• Children'S Sports Medicine Foundation Inc.

  • Orthopaedic Surgery Physician
  • Boston, MA
  • NPI 1740216811
  Medicare reassignment Care Compare group
• Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc

  • Orthopaedic Surgery Physician
  • Boston, MA
  • NPI 1972544591
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212710400000",
    "number": "1952335606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 LONGWOOD AVE",
            "address_2": "6TH FLOOR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155728",
            "telephone_number": "617-355-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 LONGWOOD AVE",
            "address_2": "6TH FLOOR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155728",
            "telephone_number": "617-355-3501",
            "fax_number": "617-355-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "MA",
            "license": "213465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0193780",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Beth O'Brien, SC.D.
• Lauren Ferraro O'Brien, MS, RD, LDN
• Martha E O'Brien, CRNA
• Michael David O'Brien
• Michael J O'Brien, MD
• Monica S O'Brien, MD
• Patricia O'Brien, RR, CPNP-AC
• Rachel O'Brien
• Rebecca F O'Brien, MD
• Sharon E O'Brien, MD

• Sports Medicine (Internal Medicine) Physician in Boston, MA
• Providers in Boston, MA by specialty
• Sports Medicine (Internal Medicine) Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.