Individual provider Active NPI

Thomas S Forrest, MD

  • Diagnostic Radiology Physician
  • Omaha, NE
National Provider Identifier
1326117706
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
14505 Issued in NE
Practice address
6901 N 72ND St
Alegent Immanuel Hospital Dept of Radiology
Omaha, NE 68122-1709
Phone
(402) 572-2324
NPI assigned
Nov 7, 2006
Last updated
Feb 2, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 14505 NE Primary

Addresses

Primary practice location

6901 N 72ND St
Alegent Immanuel Hospital Dept of Radiology
Omaha, NE 68122-1709

Mailing address

PO Box 4460
Omaha, NE 68104-0460
Phone (866) 491-5807

Other identifiers 3

IdentifierTypeStateIssuer
0914093MedicaidIA
2914093MedicaidIA
1326117706MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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

Enrollment IDStateProvider typePAC IDDetails
I20051220000720 NE Practitioner - Diagnostic Radiology 5799676011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.47 of 100Reported as group
Quality
92.9
Improvement activities
40
Cost
81.24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14505NEMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Consultants PC Diagnostic Radiology CurrentSince Sep 1, 2007 Accepting new patients
Simonmed Imaging Nebraska LLC PastSince Apr 1, 2015 Accepting new patients
Professional Medical Imaging LLC Past Accepting new patients
Midwest Medical Imaging Center Inc Diagnostic Radiology Past Accepting new patients
Alegent Health Immanuel Medical Center Past Accepting new patients

Locations

800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000

631 N 8th St
Mo Valley, IA 51555
Phone (712) 642-2784

810 N 22nd St
Blair, NE 68008
Phone (402) 426-1116

14040 Boys Town Hospital Rd
Boys Town, NE 68010
Phone (402) 778-6800

14441 DuPont Ct
Ste 304
Omaha, NE 68144
Phone (402) 597-8775

6901 N 72nd St
Omaha, NE 68122
Phone (402) 572-2121

11111 S 84th St
Papillion, NE 68046
Phone (402) 593-3000

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265068800000",
    "number": "1326117706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4460",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681040460",
            "telephone_number": "866-491-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 N 72ND ST",
            "address_2": "ALEGENT IMMANUEL HOSPITAL DEPT OF RADIOLOGY",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681221709",
            "telephone_number": "402-572-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORREST",
        "first_name": "THOMAS",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2010-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "14505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0914093",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2914093",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326117706",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.