Organization Active NPI

Foreit Medical Group LLC

Doing business as Focused Pain Relief

  • Family Medicine Physician
  • Highland, IN
National Provider Identifier
1326645284
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FOREIT MEDICAL GROUP LLC
Doing business as
Focused Pain Relief
Practice address
2940 Highway Ave
Highland, IN 46322-1631
Phone
(219) 595-0630
Fax
(219) 595-0653
NPI assigned
Oct 5, 2020
Last updated
Oct 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Authorized official

Name
Dr. David John Foreit, D.O.NPI 1376740647
Title
Medical Director
Phone
(219) 805-4201

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2940 Highway Ave
Highland, IN 46322-1631

Mailing address

2940 Highway Ave
Highland, IN 46322-1631
Phone (219) 595-0630

Other practice location 1

2621 Highway Ave
Highland, IN 46322-1614
Phone (219) 595-0630

Other names 1

  • FOCUSED PAIN RELIEF Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL KAREO
Other URL KAREO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201019001378 IN Part B Supplier - Clinic/Group Practice 4981024650 Receives reassigned benefits from 1 practitioner
Practice locations: Highland, IN

National Provider Directory

National Provider Directory

Locations

2621 Highway Ave
Highland, IN 46322
Phone (219) 595-0630

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601856000000",
    "number": "1326645284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 HIGHWAY AVE",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463221631",
            "telephone_number": "219-595-0630",
            "fax_number": "219-595-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 HIGHWAY AVE",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463221631",
            "telephone_number": "219-595-0630",
            "fax_number": "219-595-0653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2621 Highway Ave",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "IN",
            "postal_code": "463221614",
            "country_code": "US",
            "telephone_number": "219-595-0630",
            "fax_number": "219-595-0653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOREIT MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-05",
        "last_updated": "2020-10-05",
        "certification_date": "2020-09-29",
        "status": "A",
        "authorized_official_last_name": "FOREIT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "219-805-4201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "KAREO",
            "affiliation": "N",
            "endpointDescription": "MEDICAL EHR & PM SOFTWARE",
            "address_1": "2940 Highway Ave",
            "city": "Highland",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463221631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "KAREO",
            "affiliation": "N",
            "endpointDescription": "MEDICAL EHR & PM SOFTWARE",
            "address_1": "2621 Highway Ave",
            "city": "Highland",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463221614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "FOCUSED PAIN RELIEF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Highland, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.