Individual provider Active NPI

Kimberly Tiffany Forbes, MD

  • Family Medicine Physician
  • Jamaica, NY
National Provider Identifier
1366949380
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
316611 Issued in NY
Practice address
11120 Merrick Blvd
Jamaica, NY 11433-4016
Phone
(718) 206-9888
NPI assigned
Apr 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 316611 NY
Family Medicine Physician 207Q00000X 316611 NY Primary

Addresses

Primary practice location

11120 Merrick Blvd
Jamaica, NY 11433-4016

Mailing address

11120 Merrick Blvd
Jamaica, NY 11433-4016
Phone (718) 206-6914

Other practice location 1

8900 Van Wyck Expy
Richmond Hill, NY 11418-2897
Phone (718) 206-6914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20220922000694 NY Practitioner - Family PracticePractitioner - Hospice/Palliative Care 7315282555 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospice/Palliative Care
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jamaica HospitalGroup PAC ID 2264324334, 252 clinicians

Practice addresses (Care Compare)

4500 Parsons Blvd
Flushing, NY 11355-2205
Phone (718) 670-5486

9120 Atlantic Ave
Ozone Park, NY 11416-1527
Phone (718) 641-8207

Hospital & facility affiliations

  • Jamaica Hospital Medical Center Hospital, Jamaica, NY, CCN 330014
  • Flushing Hospital Medical Center Hospital, Flushing, NY, CCN 330193

Merit-based Incentive Payment System (MIPS)

Final score
92.19 of 100Reported as group
Quality
82.16
Promoting interoperability
79
Improvement activities
40
Cost
75.98

Merit-based Incentive Payment System (MIPS)

Final score
91.68 of 100Reported as group
Quality
88.38
Promoting interoperability
78
Improvement activities
40
Cost
68.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
316611NYMDHospice and Palliative Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Flushing Hospital & Medical Center CurrentSince Aug 1, 2022 Accepting new patients
Flushing Hospital Medical Center CurrentSince Aug 1, 2022 Accepting new patients
Jamaica Hospital CurrentSince Aug 1, 2022 Accepting new patients
Jamaica Hospital CurrentSince Aug 1, 2022 Accepting new patients

Locations

4500 Parsons Blvd
Flushing, NY 11355
Phone (718) 670-5631

14601 45th Ave
Flushing, NY 11355
Phone (718) 670-5562

11120 Merrick Blvd
Jamaica, NY 11433
Phone (718) 206-7510

80 Marcus Dr
Melville, NY 11747
Phone (631) 391-7889

9120 Atlantic Ave
Ozone Park, NY 11416
Phone (718) 322-1580

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: kforbes44870@direct.medisys.org

Organizations & group practices 4

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 3

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": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1366949380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11120 MERRICK BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114334016",
            "telephone_number": "718-206-6914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11120 MERRICK BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114334016",
            "telephone_number": "718-206-9888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8900 Van Wyck Expy",
            "address_purpose": "LOCATION",
            "city": "Richmond Hill",
            "state": "NY",
            "postal_code": "114182897",
            "country_code": "US",
            "telephone_number": "718-206-6914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORBES",
        "first_name": "KIMBERLY",
        "middle_name": "TIFFANY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-06",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "NY",
            "license": "316611",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "316611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.