David Michael Forman Jr., M.D.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

J6950 Issued in TX

Practice address

2121 Pease St Ste 305
Harlingen, TX 78550-8349

Phone

(956) 440-7246

Fax

(956) 440-9517

NPI assigned

Apr 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Interventional Pain ManagementAlso: Anesthesiology

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Harlingen Medical Center Hospital, Harlingen, TX, CCN 450855

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HHIBDD/Endpoint/HHIBDD

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.

• D Michael Foreman, MD, PA

  • Pain Medicine (Anesthesiology) Physician
  • Brownsville, TX
  • NPI 1588781769
  Medicare reassignment NPD Authorized official
• Headache and Pain Ambulatory Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Harlingen, TX
  • NPI 1841305521
  NPD (past) Authorized official
• Harlingen Anesthesia Associates

  • Anesthesiology Physician
  • Harlingen, TX
  • NPI 1093727455
  NPD (past)
• Harlingen Anesthesia Associates

  • Anesthesiology Physician
  • Harlingen, TX
  • NPI 1114191376
  NPD (past)
• Pain and Anesthesia Associates, PLLC

  • Specialist
  • Harlingen, TX
  • NPI 1316040363
  NPD (past)
• Pinkerman & Gonzalez Psychological

  • Clinical Psychologist
  • Edinburg, TX
  • NPI 1841388030
  NPD (past)

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

• Harlingen Medical Center Limited Partnership

  dba Harlingen Medical Center

  • General Acute Care Hospital
  • Harlingen, TX
  • NPI 1881688976
  Care Compare affiliation

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1174588602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 PEASE ST STE 305",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508349",
            "telephone_number": "956-440-7246",
            "fax_number": "956-440-9517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 PEASE ST STE 305",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508349",
            "telephone_number": "956-440-7246",
            "fax_number": "956-440-9517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORMAN",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "J6950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "J6950",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD-PA",
            "identifier": "P00462542",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042903703",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00454590",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL BCBS #",
            "identifier": "8H0761",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042903704",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL MEDICARE RR #",
            "identifier": "050092209",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IND. VALLEY HEALTH PLAN #",
            "identifier": "129836100",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marlo M Fonseca-Martinez, RN, BSN
• Ruben David Fonseca, PHARM. D
• Jessenia Marie Fontanez, PSY.D.
• Lauree Jean Ford, RN
• Yvonne L. Foreman, OTR
• Louis George Forrai, PT
• Forward Holistic Health & Wellness
• Melissa Fracasso
• Carrie Fraga
• Carlos Franco, CNIM

• Pain Medicine (Anesthesiology) Physician in Harlingen, TX
• Providers in Harlingen, TX by specialty
• Pain Medicine (Anesthesiology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.