PHILLIP MICHAEL O'CONNOR (M.D.) – General Practice Physician, NPI 1659759652
General Practice Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
878 PHYSICAL MEDICINE AND REHABILITATION in PA
Provider Addresses for PHILLIP MICHAEL O'CONNOR (M.D.)
2314 E CABOT ST
PHILADELPHIA, PA 191253616
Phone: (815) 693-7568
Type: Mailing
3401 N BROAD ST LOWR LEVEL
PHILADELPHIA, PA 191405103
Phone: (215) 707-7020
Type: Location
60 Township Line Rd
Elkins Park, PA 190272220
Phone: (215) 663-6000
Type: Location
82-68 164th Street
Jamaica, NY 11432
Phone: (718) 883-4080
Type: Location
3401 N Broad St Lowr Level
Philadelphia, PA 191405103
Phone: (215) 707-7020
Type: Location
1240 WESTLAWN DR
KANKAKEE, IL 609014657
Phone: (815) 693-7568
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-08-21
PECOS data refreshed: 2026-05-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240821000575 | I | General Practice | IL | TBD |
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.
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 19125)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Internal Medicine, Family Practice, Geriatric Medicine, General Practice | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Internal Medicine | IL |
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