NPIMap

Individual provider Active NPI

Kenton E Forte, M.D.

  • General Practice Physician
  • Buffalo, NY
National Provider Identifier
1326023953
Registry record updated Mar 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
165665 Issued in NY
Practice address
964 Delaware Ave
Buffalo, NY 14209-1806
Phone
(716) 886-4202
Fax
(716) 884-9168
NPI assigned
Dec 6, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 1656651 NY
General Practice Physician 208D00000X 165665 NY Primary

Addresses

Primary practice location

964 Delaware Ave
Buffalo, NY 14209-1806

Mailing address

964 Delaware Ave
Buffalo, NY 14209-1806
Phone (716) 886-4202

Other identifiers 1

IdentifierTypeStateIssuer
01183146MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050824000290 NY Practitioner - Cardiovascular Disease (Cardiology) 1153352703 Practice locations: Buffalo, NY

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
State University of New York at Buffalo School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

964 Delaware Ave
Buffalo, NY 14209-1806
Phone (716) 886-4202

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1656651NYMDCardiovascular Disease Physician
165665NYMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nuclear Diagnostics Inc. Past Accepting new patients
Heart Beat Center of Wny Cardiovascular Disease Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kforte@kentonefortemd.medentdirect.com

Organizations & group practices 2

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 8

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": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393718400000",
    "number": "1326023953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "964 DELAWARE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142091806",
            "telephone_number": "716-886-4202",
            "fax_number": "716-884-9168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "964 DELAWARE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142091806",
            "telephone_number": "716-886-4202",
            "fax_number": "716-884-9168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTE",
        "first_name": "KENTON",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2014-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "1656651",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "165665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01183146",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.