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KEVIN J OBRIEN DPM INC
NPI 1558550533
Podiatrist - Foot & Ankle Surgery in Lake Havasu City, AZ

Active since October 16, 2007
1731 MESQUITE AVE STE 4, LAKE HAVASU CITY, AZ 86403(928) 854-4307(928) 854-4339 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kevin J Obrien Dpm Inc NPPES

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

KEVIN J OBRIEN DPM INC (NPI 1558550533) is a healthcare organization registered as a foot & ankle surgery in Lake Havasu City, Arizona and active in the NPI registry since October 2007. The organization lists Kevin John Obrien, Owner, as its authorized official.

NPPES Registry Identity

NPI1558550533
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameKEVIN J OBRIEN DPM INC
Location Address1731 MESQUITE AVE STE 4Lake Havasu City, AZ 86403-5653
Mailing AddressPo Box 3028Lake Havasu City, AZ 86405 · (928) 854-4307 · Fax (928) 854-4339
Phone(928) 854-4307
Fax(928) 854-4339
Organization SubpartNo
Authorized OfficialKevin John ObrienOwner · (928) 854-4307
Enumeration DateOctober 16, 2007
Last NPPES UpdateMarch 7, 2023
✔ NPI 1558550533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in AZ · 0541
1731 MESQUITE AVE STE 4, Lake Havasu City, AZ 86403
Open in Google Maps ↗

Other Identifiers 2

OtherDC2459AZ · Railroad Medicare
Medicaid572124AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin J Obrien Dpm Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateArizonaEnrollment IDO20040427001157Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kevin J Obrien DPM Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kevin Obrien, DPM
Podiatry
NPI 1568545481
2302 N STOCKTON HILL RD SUITE G
Kingman, AZ 86401
(928) 854-4307
✔ PECOS✔ Accepts Medicare53 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin J Obrien Dpm Inc's NPI number?

The NPI number for Kevin J Obrien Dpm Inc is 1558550533. It was assigned to this organization in the NPPES registry on October 16, 2007.

Where is Kevin J Obrien Dpm Inc located?

Kevin J Obrien Dpm Inc is located at 1731 Mesquite Ave Ste 4, Lake Havasu City, AZ 86403. The listed phone number is (928) 854-4307.

What is Kevin J Obrien Dpm Inc's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Kevin J Obrien Dpm Inc enrolled in Medicare?

Yes. Kevin J Obrien Dpm Inc is registered in the Medicare PECOS enrollment system.

When is Kevin J Obrien Dpm Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arizona, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Kevin J Obrien Dpm Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Kevin J Obrien Dpm Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kevin J Obrien Dpm Inc was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.