Individual provider Active NPI

Alan R Forbes, MD

  • Radiation Oncology Physician
  • Orange City, FL
National Provider Identifier
1376528612
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME44243 Issued in FL
Practice address
2776 Enterprise Rd # 100
Orange City, FL 32763-8316
Phone
(386) 774-1223
Fax
(386) 774-4658
NPI assigned
Dec 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X ME44243 FL Primary

Addresses

Primary practice location

2776 Enterprise Rd # 100
Orange City, FL 32763-8316

Mailing address

2776 Enterprise Rd # 100
Orange City, FL 32763-8316
Phone (386) 774-1223

Other practice location 1

658 Oviedo Medical Dr
Oviedo, FL 32765-6574
Phone (407) 901-9076

Other identifiers 2

IdentifierTypeStateIssuer
47634OtherFLBCBS
068759600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20090526000390 FL Practitioner - Radiation Oncology 4880743780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Miami, LM Miller School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Florida Cancer Centers LLCGroup PAC ID 4880584135, 13 clinicians

Practice addresses (Care Compare)

658 Oviedo Medical Dr
Oviedo, FL 32765-6574
Phone (407) 901-9076

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
91.45
Improvement activities
40

National Provider Directory

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

Practice roles (1 of 3)

OrganizationSpecialtyStatusNew patients
Mid-Florida Cancer Centers LLC CurrentSince Jan 1, 2017 Accepting new patients

Locations

2776 Enterprise Rd
#100
Orange City, FL 32763
Phone (386) 774-1223

658 Oviedo Medical Dr
Oviedo, FL 32765
Phone (407) 265-2540

2100 W 1st St
Sanford, FL 32771
Phone (407) 323-2250

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1376528612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2776 ENTERPRISE RD # 100",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638316",
            "telephone_number": "386-774-1223",
            "fax_number": "386-774-4658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2776 ENTERPRISE RD # 100",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638316",
            "telephone_number": "386-774-1223",
            "fax_number": "386-774-4658"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "658 Oviedo Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Oviedo",
            "state": "FL",
            "postal_code": "327656574",
            "country_code": "US",
            "telephone_number": "407-901-9076",
            "fax_number": "407-901-9075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORBES",
        "first_name": "ALAN",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME44243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "47634",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "068759600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

Verify at the official NPI Registry.