DR. THOMAS O'BRIEN M.D.
NPI 1801246491
Internal Medicine - Infectious Disease in Warwick, RI

Q: What is Thomas O'brien's NPI number?

The NPI number for Thomas O'brien is 1801246491. It was assigned to this individual provider in the NPPES registry on June 15, 2016.

Q: What is Thomas O'brien's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Q: When was this NPI record last updated?

The NPPES record for Thomas O'brien was last updated on July 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 15, 2016PECOS EnrolledAccepts Medicare Assignment

455 TOLL GATE RD, WARWICK, RI 02886(401) 273-0641 Get Directions Write a Review

NPPES record last updated: July 28, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 28, 2021, Jun 15, 2016 (2 updates tracked since 2016).

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About Dr. Thomas O'brien M.d. NPPES

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

DR. THOMAS O'BRIEN M.D. (NPI 1801246491) is an individual infectious disease provider in Warwick, Rhode Island, licensed in Rhode Island (MD17913) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Kent County Memorial Hospital, and maintains a secondary practice location in Providence.

NPPES Registry Identity

NPI1801246491

Entity TypeIndividualMale

Primary Taxonomy207RI0200X

Provider Legal NameDR. THOMAS O'BRIENCredential: M.D.

Location Address455 TOLL GATE RDWarwick, RI 02886-2759

Mailing Address593 Eddy StProvidence, RI 02903-4923 · (401) 793-2930 · Fax (401) 793-2953

Phone(401) 273-0641

Sole ProprietorYes

Medical School CMSTufts University School Of MedicineGraduated 2016

Enumeration DateJune 15, 2016

Last NPPES UpdateJuly 28, 20212 updates tracked since enumeration

NPPES CertifiedJuly 28, 2021

✔ NPI 1801246491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

License✔ Licensed in RI · MD17913

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Also ListedInternal MedicineTaxonomy 207R00000X · License LP03709 (RI)

455 TOLL GATE RD, Warwick, RI 02886

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Secondary Practice Location 1

Location 1593 Eddy StProvidence, RI 02903-4923 · Phone (401) 793-2930 · Fax (401) 793-2953

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Thomas O'brien M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183919202

PECOS Enrollment IDI20210810003310

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

43 services33 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

39 services27 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

27 services27 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

20 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kent County Memorial Hospital

Acute Care Hospitals · Warwick, RI

3/5 CMS rating

OwnershipProprietary

CMS Certification Number410009

Location455 Toll Gate RdWarwick, RI 02886 · Kent County

Emergency services Birthing friendly

The Miriam Hospital

Acute Care Hospitals · Providence, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410012

Location164 Summit AvenueProvidence, RI 02906 · Providence County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02886 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$134.17 typical visit price

range $58.57 – $177.03

Typical copayment $33.54 (range $14.64 – $44.25)

Most-billed visit code 99204

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

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

DR. STERLING LEAF MALISH M.D.

Internal Medicine