KOTOMI OBAYASHI (DO) – Physical Medicine & Rehabilitation Physician, NPI 1609491513

KOTOMI OBAYASHI (DO) is a healthcare provider. based in Big rapids, Michigan. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials DO. They hold a License No. 2020014565 (MO). The NPI Number for KOTOMI OBAYASHI (DO) is 1609491513

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
KOTOMI OBAYASHI (DO)
NPI
1609491513
Phone
(231) 592-1360
Address
20095 GILBERT RD
Enumeration Date
16 June 2020
Last Update Date
27 May 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
2315921360
Graduation Year
2024 (2 years ago)
PAC ID
0143645762
Group Practice PAC ID
8527044551
Professional Enrollment ID
I20250617001193
Address ID
MI493072366BI20095RDXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:5State licenses:3Digital endpointsOther names

567 PHYSICAL MEDICINE AND REHABILITATION in MI

Provider Addresses for KOTOMI OBAYASHI (DO)

  • 20095 GILBERT RD

    BIG RAPIDS, MI 493072365

    Phone: (231) 592-1360

    Fax: (231) 592-1361

    Type: Mailing

  • 1 HOSPITAL DR

    COLUMBIA, MO 652121000

    Phone: (573) 884-1606

    Fax: (573) 884-4533

    Type: Mailing

  • 315 W Business Loop 70

    Columbia, MO 652033248

    Phone: (573) 882-0406

    Type: Location

  • 315 W BUSINESS LOOP 70

    COLUMBIA, MO 652033248

    Phone: (573) 882-0406

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $1,337.

Total Amount is formed as General ($1,337) + Research ($0) + Ownership ($0) = $1,337.

Last reported payment date: 2024-11-16 • Largest payer in this snapshot: Medtronic, Inc. ($835).

Total Amount

$1,337

General + Research + Ownership

Payments

27

Total payment records

General Amount

$1,337

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-17

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250617001193IPhysical Medicine And RehabilitationMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49307)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8527044551View full group profile
NameSpecialtyState
Physician AssistantMI
-MI
Nurse PractitionerMI
Physician AssistantMI
Nurse PractitionerMI
Internal MedicineFL
Physician AssistantMI
-MI
Nurse PractitionerMI
-MI

Reviews

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Frequently asked questions

How is KOTOMI OBAYASHI (DO) identified in CMS data?
CMS-hosted NPPES data lists KOTOMI OBAYASHI (DO) with NPI 1609491513.
Can I rely on KOTOMI OBAYASHI (DO) being an active provider?
As of the registry snapshot, KOTOMI OBAYASHI (DO) is marked active.
What taxonomy line describes KOTOMI OBAYASHI (DO)?
For research purposes, treat KOTOMI OBAYASHI (DO) as Physical Medicine & Rehabilitation Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is KOTOMI OBAYASHI (DO) based?
KOTOMI OBAYASHI (DO) is tied to Big Rapids, Michigan in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
7 practice locations appear in the available data.

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