KEVIN MIGUEL O'HARA
NPI 1407627631
Nurse Anesthetist, Certified Registered in Fort Wayne, IN

Q: What is Kevin O'hara's NPI number?

The NPI number for Kevin O'hara is 1407627631. It was assigned to this individual provider in the NPPES registry on January 16, 2024.

Q: What is Kevin O'hara's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin O'hara was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 16, 2024

6435 W JEFFERSON BLVD # 434, FORT WAYNE, IN 46804(260) 436-7875(260) 432-9812 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Kevin Miguel O'hara NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN MIGUEL O'HARA (NPI 1407627631) is an individual nurse anesthetist, certified registered in Fort Wayne, Indiana, licensed in Indiana (28259076A) and active in the NPI registry since January 2024. He maintains a secondary practice location in Edwardsville and is a graduate of Other (2026).

NPPES Registry Identity

NPI1407627631

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameKEVIN MIGUEL O'HARA

Location Address6435 W JEFFERSON BLVD # 434Fort Wayne, IN 46804-6203

Mailing AddressPo Box 843603Dallas, TX 75284-0001 · (972) 233-1999 · Fax (972) 233-3666

Phone(260) 436-7875

Fax(260) 432-9812

Sole ProprietorNo

Medical School CMSOtherGraduated 2026

Enumeration DateJanuary 16, 2024

Last NPPES UpdateMay 21, 2026

NPPES CertifiedMay 21, 2026

✔ NPI 1407627631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in IN · 28259076A

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

6435 W JEFFERSON BLVD # 434, Fort Wayne, IN 46804

Open in Google Maps ↗

Secondary Practice Location 1

Location 16 Hairpin DrEdwardsville, IL 62026-1000 · Phone (317) 378-2836

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Miguel O'hara is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931670304

PECOS Enrollment IDI20260605003249

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KENNETH ALAN BURCKARDT M.D.

Anesthesiology