KATHLEEN B O'BRIEN MD
NPI 1861577959
Pediatrics - Sports Medicine in Philadelphia, PA
- Individual
- Female
- Pediatrics
- Sports Medicine
- Accepts Insurance
- PECOS Enrolled
About KATHLEEN O'BRIEN
This page provides the complete NPI Profile along with additional information for Kathleen O'brien, a pediatrician established in Philadelphia, Pennsylvania with a medical specialization in Pediatrics, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1861577959 assigned on October 2006. The practitioner's primary taxonomy code is 2080S0010X with license number MD069374L (PA). The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1861577959 Verify this NPI
- Provider Name
- KATHLEEN B O'BRIEN MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 160 E ERIE AVE PHILADELPHIA, PA 19134
- Location Phone
- (215) 427-3131
- Location Fax
- (215) 427-8782
- Mailing Address
- PO BOX 191 PROVIDER ENROLLMENT DEPT ROCKLAND, DE 19732
- Mailing Phone
- (302) 651-6201
- Mailing Fax
- (302) 651-4945
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-26-2006
- Last Update Date
- 07-15-2020
- Code Navigator
A pediatrician like Kathleen O'brien is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Secondary Locations
- 1600 Rockland Road
Wilmington, DE 19803
(302) 651-4000
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Sports Medicine
- Taxonomy Code
- 2080S0010X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD069374L
- License State
- PA
- Taxonomy Description
- A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | C10007503 (DE) |
| 2 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | MD069374L (PA) |
| 3 | 2080S0010X | Allopathic & Osteopathic Physicians | Pediatrics | C10007503 (DE) |
| 4 | 208M00000X | Allopathic & Osteopathic Physicians | Hospitalist | MD069374L (PA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Principal Bronze HSA - EPO
- Principal Bronze HSA + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8283206 | MEDICAID (05) | NJ | |
| 01812378 (PA) | MEDICAID (05) | DE | |
| 001812378 | MEDICAID (05) | PA | |
| 3270009 | MEDICAID (05) | MD |
Medicare Participation & PECOS Enrollment Status
Kathleen O'brien is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PHILADELPHIA, PA 19134
PHILADELPHIA, PA 19134
PHILADELPHIA, PA 19134
PHILADELPHIA, PA 19134
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861577959, enumerated as an "individual" on October 26, 2006.
The provider is located at 160 E ERIE AVE PHILADELPHIA, PA 19134 and the phone number is (215) 427-3131.
Pediatrics with taxonomy code 2080S0010X and a focus in Sports Medicine.
The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter. Please consult your insurance carrier or call the provider to verify.
