Active NPI
Scott Ian Forman, DO
- Hospitalist Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- OS012386
- Practice address
- 8200 Henry Ave
Suite G-1
Philadelphia, PA 19128-2984 - Phone
- (215) 482-2336
- Fax
- (215) 483-4389
- NPI assigned
- Jul 29, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | OS012386 | PA | Primary |
| Internal Medicine Physician | 207R00000X | 05012386 | PA |
Addresses
Primary practice location
8200 Henry Ave
Suite G-1
Philadelphia, PA 19128-2984
Mailing address
1500 Lansdowne Ave
Darby, PA 19023-1200
Phone (215) 482-2336
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101139948000 | Medicaid | PA | |
| 1623935 | Other | PA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Philadelphia College of Osteopathic Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 623-0188
Hospital & facility affiliations
- Christiana Care Health System
- Christiana Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05012386 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Health Services Inc | Internal Medicine | Current | Accepting new patients |
| Christiana Care Health Services Inc | Current | Accepting new patients |
Locations
4755 Ogletown Stanton Rd
Ste 5A43
Newark, DE 19718
Phone (302) 623-0188
1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440
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.
-
- Hospitalist Physician
- Newark, DE
- NPI 1245474329
Internal Medicine
-
- Neurology Physician
- Chadds Ford, PA
- NPI 1881228484
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1366442402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 LANSDOWNE AVE",
"city": "DARBY",
"state": "PA",
"postal_code": "190231200",
"telephone_number": "215-482-2336",
"fax_number": "215-483-4389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8200 HENRY AVE",
"address_2": "SUITE G-1",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191282984",
"telephone_number": "215-482-2336",
"fax_number": "215-483-4389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORMAN",
"first_name": "SCOTT",
"middle_name": "IAN",
"name_prefix": "Mr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-29",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "PA",
"license": "OS012386",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "05012386",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101139948000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "1623935",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.