Active NPI
Mark Douglas Forte, MD
- Diagnostic Radiology Physician
- Lone Tree, CO
National Provider Identifier
1114137577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 29025
- Practice address
- 8683 E Lincoln Ave
Suite 100
Lone Tree, CO 80124-9811 - Phone
- (303) 706-1555
- Fax
- (303) 706-1199
- NPI assigned
- May 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 29025 | CO | Primary |
Addresses
Primary practice location
8683 E Lincoln Ave
Suite 100
Lone Tree, CO 80124-9811
Mailing address
8683 E Lincoln Ave
Suite 100
Lone Tree, CO 80124-9811
Phone (303) 706-1555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29025 | CO | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bailey's Health Care, Inc. | Past | Accepting new patients | |
| Lighthouse Diagnostic Imaging LLC | Past | Accepting new patients | |
| Pueblo Radiological Group PC | Diagnostic Radiology | Past | Accepting new patients |
| Lucien Diagnostic Imaging Inc | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 4
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.
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-
dba Physicians In Radiology
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- NPI 1053351320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114137577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8683 E LINCOLN AVE",
"address_2": "SUITE 100",
"city": "LONE TREE",
"state": "CO",
"postal_code": "801249811",
"telephone_number": "303-706-1555",
"fax_number": "303-706-1199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8683 E LINCOLN AVE",
"address_2": "SUITE 100",
"city": "LONE TREE",
"state": "CO",
"postal_code": "801249811",
"telephone_number": "303-706-1555",
"fax_number": "303-706-1199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORTE",
"first_name": "MARK",
"middle_name": "DOUGLAS",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CO",
"license": "29025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lone Tree, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.