Individual provider Active NPI

David John Foreit, D.O.

  • General Practice Physician
  • Highland, IN
National Provider Identifier
1376740647
Registry record updated Dec 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
02001522A Issued in IN
Practice address
2940 Highway Ave
Highland, IN 46322-1631
Phone
(219) 595-0630
Fax
(219) 595-0653
NPI assigned
Jun 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 02001522A IN 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 identifiers 2

IdentifierTypeStateIssuer
256390COtherINMEDICARE
1639622236OtherINNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20080513000068 IN Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 2264501568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Chicago College of Osteopathy, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

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

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Foreit Medical, LLC Current Accepting new patients

Locations

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

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

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.

Hospital & facility affiliations 4

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": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607731200000",
    "number": "1376740647",
    "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": [],
    "basic": {
        "last_name": "FOREIT",
        "first_name": "DAVID",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2020-12-12",
        "certification_date": "2020-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": "02001522A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "256390C",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1639622236",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, IN

Sources for this page

Verify at the official NPI Registry.