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KEVIN T OCONNOR DO PC
NPI 1932396942
Surgery in Greenville, MI

Active since October 03, 2007
421 S BALDWIN ST, GREENVILLE, MI 48838(989) 584-6801 Get Directions Write a Review

NPPES record last updated: October 24, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kevin T Oconnor Do Pc NPPES

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

KEVIN T OCONNOR DO PC (NPI 1932396942) is a healthcare organization registered as a surgery in Greenville, Michigan and active in the NPI registry since October 2007. The organization lists Kevin T Oconnor, President, as its authorized official.

NPPES Registry Identity

NPI1932396942
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameKEVIN T OCONNOR DO PC
Location Address421 S BALDWIN STGreenville, MI 48838-2102
Mailing AddressPo Box 326Carson City, MI 48811-0326 · (989) 584-6801
Phone(989) 584-6801
Organization SubpartNo
Authorized OfficialKevin T OconnorPresident · (989) 584-6801
Enumeration DateOctober 3, 2007
Last NPPES UpdateOctober 24, 2007
✔ NPI 1932396942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MI · 5101010639
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
421 S BALDWIN ST, Greenville, MI 48838
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Other Identifiers 4

Other0255900344MI · Blue Cross Blue Shield
Medicaid3526975MI
Medicare PIN0P31430MI
Medicare UPINF86929

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 T Oconnor Do Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 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
StateMichiganEnrollment IDO20060505000837Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 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 T Oconnor Do PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kevin Oconnor, DO
General Surgery
NPI 1659335396
707 S GREENVILLE WEST DR
Greenville, MI 48838
(616) 754-3001
✔ PECOS0.9 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 T Oconnor Do PC's NPI number?

The NPI number for Kevin T Oconnor Do PC is 1932396942. It was assigned to this organization in the NPPES registry on October 3, 2007.

Where is Kevin T Oconnor Do PC located?

Kevin T Oconnor Do PC is located at 421 S Baldwin St, Greenville, MI 48838. The listed phone number is (989) 584-6801.

What is Kevin T Oconnor Do PC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Kevin T Oconnor Do PC enrolled in Medicare?

Yes. Kevin T Oconnor Do PC is registered in the Medicare PECOS enrollment system.

When is Kevin T Oconnor Do PC'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 (Michigan, Clinic/Group Practice) is due for revalidation by February 28, 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 T Oconnor Do PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Kevin T Oconnor Do PC. 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 T Oconnor Do PC was last updated on October 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.