KATHLEEN B O'BRIEN MD
NPI 1861577959
Pediatrics - Sports Medicine in Philadelphia, PA

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

The NPI number for Kathleen O'brien is 1861577959. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

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

The primary specialty registered for this NPI is Pediatrics, specializing in Sports Medicine, with taxonomy code 2080S0010X.

Q: When was this NPI record last updated?

The NPPES record for Kathleen O'brien was last updated on July 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since October 26, 2006PECOS Enrolled

160 E ERIE AVE, PHILADELPHIA, PA 19134(215) 427-3131(215) 427-8782 Get Directions Write a Review

NPPES record last updated: July 15, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Kathleen B O'brien Md NPPES

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

KATHLEEN B O'BRIEN MD (NPI 1861577959) is an individual sports medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD069374L) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Wilmington.

NPPES Registry Identity

NPI1861577959

Entity TypeIndividualFemale

Primary Taxonomy2080S0010X

Provider Legal NameKATHLEEN B O'BRIENCredential: MD

Location Address160 E ERIE AVEPhiladelphia, PA 19134-1011

Mailing AddressPo Box 191, Provider Enrollment DeptRockland, DE 19732-0191 · (302) 651-6201 · Fax (302) 651-4945

Phone(215) 427-3131

Fax(215) 427-8782

Sole ProprietorNo

Enumeration DateOctober 26, 2006

Last NPPES UpdateJuly 15, 2020

NPPES CertifiedJuly 15, 2020

✔ NPI 1861577959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080S0010X

Licenses✔ Licensed in PA · MD069374L✔ Licensed in DE · C10007503

Definition

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.

Also ListedPediatricsTaxonomy 208000000X · License C10007503 (DE), MD069374L (PA)

Also ListedHospitalistTaxonomy 208M00000X · License MD069374L (PA)

160 E ERIE AVE, Philadelphia, PA 19134

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Secondary Practice Location 1

Location 11600 Rockland RoadWilmington, DE 19803-3607 · Phone (302) 651-4000 · Fax (302) 651-4945

Other Identifiers 4

Medicaid8283206NJ

Medicaid01812378 (PA)DE

Medicaid001812378PA

Medicaid3270009MD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen B O'brien Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Kathleen O'brien reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stc Pediatrics LLC

0.2 mi

Pediatrics

3645 N FRONT ST
Philadelphia, PA 19134

Reassigned Medicare billing, Pennsylvania enrollment
479 clinicians in this Medicare group

NPI 1346884574 (215) 427-5000

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

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.

GEOFFREY LIBARNES BAJWA MD

Pediatrics (Neonatal-Perinatal Medicine)

160 E ERIE AVE
PHILADELPHIA, PA 19134

Philadelphia County (215) 427-5000

STC PEDIATRICS LLC

Pediatrics (Pediatric Allergy/Immunology)

160 E ERIE AVE
PHILADELPHIA, PA 19134

Philadelphia County (215) 427-5284

JOANNA OVERTON DO

Student in an Organized Health Care Education/Training Program

160 E ERIE AVE
PHILADELPHIA, PA 19134

Philadelphia County (215) 427-5000

MS. NEHA BUTT MBBS

Student in an Organized Health Care Education/Training Program

160 E ERIE AVE, ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN
PHILADELPHIA, PA 19134

Philadelphia County (923) 333-1317

CHRISTOPHER HAINES D.O.

Emergency Medicine

160 E ERIE AVE
PHILADELPHIA, PA 19134

Philadelphia County (215) 427-5369

DR. FRASER HUNTINGTON BROWN M.D.

Radiology (Diagnostic Neuroimaging)

160 E ERIE AVE
PHILADELPHIA, PA 19134

Philadelphia County (215) 427-3725

NORRELL KRISTIN ATKINSON MD

Pediatrics (Child Abuse Pediatrics)

160 E ERIE AVE
PHILADELPHIA, PA 19134

Philadelphia County (215) 427-5000

VICTORIA NICOLE HUDSON CRNP-PC

Nurse Practitioner

160 E ERIE AVE
PHILADELPHIA, PA 19134

Philadelphia County (215) 427-5985

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 Kathleen O'brien's NPI number?

The NPI number for Kathleen O'brien is 1861577959. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Kathleen O'brien located?

Kathleen O'brien practices at 160 E Erie Ave, Philadelphia, PA 19134. The listed phone number is (215) 427-3131.

What is Kathleen O'brien's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Sports Medicine, with taxonomy code 2080S0010X.

Is Kathleen O'brien enrolled in Medicare?

Yes. Kathleen O'brien is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kathleen O'brien's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen O'brien reassigns Medicare benefits to Stc Pediatrics LLC (Philadelphia, PA). The 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 Kathleen O'brien's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathleen O'brien accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Kathleen O'brien as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kathleen O'brien was last updated on July 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.