Active NPI
Nathan Benjamin Forrest, D.O.
- Diagnostic Radiology Physician
- Waco, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- K3576
- Practice address
- 6901 Medical Pkwy
Radiology Department
Waco, TX 76712-7910 - Phone
- (254) 751-4000
- Fax
- (903) 663-7394
- NPI assigned
- Mar 28, 2006
- Sex
- Male
- Sole proprietor
- No
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 | K3576 | TX | Primary |
Addresses
Primary practice location
6901 Medical Pkwy
Radiology Department
Waco, TX 76712-7910
Mailing address
4777 US Highway 259
Longview, TX 75605-7668
Phone (903) 663-7393
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00195387 | Other | TX | RR/MEDICARE |
| 8W7435 | Other | BLUE CROSS BLUE SHIELD | |
| 1046328-05 | Medicaid | TX | |
| 1046328-04 | Other | TX | CSHCN |
| 8P1488 | Other | TX | BLUE SHIELD |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6901 Medical Pkwy
Waco, TX 76712-7910
Phone (254) 751-4000
7125 New Sanger Ave
Suite a
Waco, TX 76712-4054
Phone (254) 399-5400
7125 New Sanger Ave a
Waco, TX 76712-4054
Hospital & facility affiliations
- Ascension Providence
- Coryell Memorial Hospital
- Hamilton General Hospital
- Freestone Medical Center
- Baylor Scott & White Medical Center - Temple
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Texas Radiological Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| Privia Medical Group West Texas, PLLC | Past | Accepting new patients | |
| Privia Medical Group West Texas, PLLC | Past | Accepting new patients |
Locations
400 N Brown St
Hamilton, TX 76531
Phone (254) 386-1600
3206 4th St
Longview, TX 75605
Phone (903) 663-7393
6901 Medical Pkwy
Waco, TX 76712
Phone (254) 751-4000
405 Londonderry Dr
Ste 104
Waco, TX 76712
Phone (254) 751-4900
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.
-
- Diagnostic Radiology Physician
- Waco, TX
- NPI 1861452864
-
- Cardiovascular Disease Physician
- Waco, TX
- NPI 1982607735
-
- Podiatrist
- Abilene, TX
- NPI 1043725062
-
- Specialist
- Abilene, TX
- NPI 1346242567
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waco, TX
- NPI 1093708679
-
- Critical Access Hospital
- Gatesville, TX
- NPI 1780823021
-
- General Acute Care Hospital
- Fairfield, TX
- NPI 1235685892
-
- Critical Access Hospital
- Hamilton, TX
- NPI 1326037607
-
- General Acute Care Hospital
- Temple, TX
- NPI 1477516466
-
- General Acute Care Hospital
- Temple, TX
- NPI 1578502613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397520000000",
"number": "1295795664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4777 US HIGHWAY 259",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756057668",
"telephone_number": "903-663-7393",
"fax_number": "903-663-7394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6901 MEDICAL PKWY",
"address_2": "RADIOLOGY DEPARTMENT",
"city": "WACO",
"state": "TX",
"postal_code": "767127910",
"telephone_number": "254-751-4000",
"fax_number": "903-663-7394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORREST",
"first_name": "NATHAN",
"middle_name": "BENJAMIN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-28",
"last_updated": "2014-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "K3576",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR/MEDICARE",
"identifier": "P00195387",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8W7435",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1046328-05",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSHCN",
"identifier": "1046328-04",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "8P1488",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; 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.