Shalini Forbis, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35075073 Issued in OH

Practice address

745 Buena Vista Dr
Lander, WY 82520-3431

Phone

(307) 332-1920

Fax

(307) 332-1920

NPI assigned

Apr 26, 2006

Last updated

Nov 24, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WY

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

Family PracticeAlso: Pediatric Medicine

Education

Toledo Medical College, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lander Medical Clinic PCGroup PAC ID 1355323940, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2483/brand/1/csg/1/fhir/r4
• Direct secure messaging: shalini.forbis.1@2483.direct.athenahealth.com

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

• Lander Medical Clinic, PC

  • Family Medicine Physician
  • Lander, WY
  • NPI 1932299690
  Medicare reassignment Care Compare group NPD
• Lander Valley Physician Practices, LLC

  • Psychiatry Physician
  • Lander, WY
  • NPI 1215971510
  Medicare reassignment NPD

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448323200000",
    "number": "1326004391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 BUENA VISTA DR",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203431",
            "telephone_number": "307-332-1920",
            "fax_number": "307-332-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 BUENA VISTA DR",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203431",
            "telephone_number": "307-332-1920",
            "fax_number": "307-332-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORBIS",
        "first_name": "SHALINI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2015-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35075073",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WY",
            "license": "TL3280",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2330696",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine L. Fessler
• Ryan Gregory Firth, MD
• Kathryn Brynn Fitzer, LMHC, LPC, RPT
• Carlee Flanagan
• Ryan Flatt, PT, DPT
• Rachel Renee Forrester
• Susan Forton
• Teresa M Forton, LPN
• Ty Francis, PT
• Ben S. Francisco, M.D.

• Pediatrics Physician in Lander, WY
• Providers in Lander, WY by specialty
• Pediatrics Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; 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.