Individual provider Active NPI

Kristin Forkapa, DO

  • Family Medicine Physician
  • Coventry Township, OH
National Provider Identifier
1093378044
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.016203 Issued in OH
Practice address
2818 S Arlington Rd
Coventry Township, OH 44312-4716
Phone
(330) 645-0148
NPI assigned
Apr 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Student in an Organized Health Care Education/Training Program 390200000X 58.030888 OH
Family Medicine Physician 207Q00000X 34.016203 OH Primary

Addresses

Primary practice location

2818 S Arlington Rd
Coventry Township, OH 44312-4716

Mailing address

2818 S Arlington Rd
Coventry Township, OH 44312-4716

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231024004005 OH Practitioner - Family PracticePractitioner - Sports Medicine 6103156971 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians
Partners Physician GroupGroup PAC ID 4183529340, 409 clinicians

Practice addresses (Care Compare)

224 W Exchange St
Akron, OH 44302-1704
Phone (330) 344-8523

224 W Exchange St
Suite 440
Akron, OH 44302-1718
Phone (330) 344-7198

Hospital & facility affiliations

  • Akron General Medical Center Hospital, Akron, OH, CCN 360027
  • Mercy Medical Center Hospital, Canton, OH, CCN 360070
  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Partners Physician Group Family Medicine CurrentSince Oct 1, 2023 Accepting new patients
Partners Physician Group CurrentSince Oct 1, 2023 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Partners Physician Group Family Medicine Past Accepting new patients

Locations

224 W Exchange St
Ste 160
Akron, OH 44302
Phone (330) 344-6505

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

224 W Exchange St
Ste 440
Akron, OH 44302
Phone (330) 344-1980

224 W Exchange St
Akron, OH 44302
Phone (330) 344-1201

224 W Exchange St
Ste 225
Akron, OH 44302
Phone (330) 344-7400

2818 S Arlington Rd
Coventry Township, OH 44312
Phone (330) 645-0148

33 North Ave
Ste 103
Tallmadge, OH 44278
Phone (330) 344-4933

Interoperability endpoints

  • Direct secure messaging: kforkapa1340236@direct.ccf.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1093378044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2818 S ARLINGTON RD",
            "city": "COVENTRY TOWNSHIP",
            "state": "OH",
            "postal_code": "443124716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2818 S ARLINGTON RD",
            "city": "COVENTRY TOWNSHIP",
            "state": "OH",
            "postal_code": "443124716",
            "telephone_number": "330-645-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORKAPA",
        "first_name": "KRISTIN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-16",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "58.030888",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.016203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coventry Township, OH

Sources for this page

Verify at the official NPI Registry.