Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jack R O'Brien, MD

Individual provider Family Medicine Physician · NPI 1215594312

Dr. Jack R O'Brien, MD is a Family Practice in Des Moines, Iowa. Qualified in 2019, 7 years ago. Practices with Peoples Memorial Hospital, a 47-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
7
Licensed in
IA
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1801 Hickman Rd
Des Moines, IA 50314-1505
Phone: (515) 282-5640
Fax: (515) 282-2332
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence R-11519 (IA)

Record details

NPI number1215594312
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 23, 2019
Last updated in NPPESMay 23, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Peoples Memorial Hospital — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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