NPIMap

Individual provider Active NPI

Ahmad Fora, MD

  • Medical Oncology Physician
  • Olympia, WA
National Provider Identifier
1386875011
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
MD60628996 Issued in WA
Practice address
141 Lilly Rd NE
Olympia, WA 98506-5028
Phone
(360) 413-8880
Fax
(360) 810-3697
NPI assigned
Jul 29, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MD60628996 WA
Medical Oncology Physician 207RX0202X MD60628996 WA Primary

Addresses

Primary practice location

141 Lilly Rd NE
Olympia, WA 98506-5028

Mailing address

PO Box 749495
Atlanta, GA 30374-9495
Phone (239) 432-8331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160705000602 WA Practitioner - Hematology/Oncology 9032359120 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Oncology Partners PAGroup PAC ID 0042569758, 377 clinicians

Practice addresses (Care Compare)

141 Lilly Rd NE
Olympia, WA 98506-5028
Phone (360) 413-8880

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Oncology Partners PA Hematology & Oncology CurrentSince Jul 1, 2023 Accepting new patients
RCCH Trios Health LLC CurrentSince Aug 1, 2018 Accepting new patients

Locations

900 S Auburn St
Kennewick, WA 99336
Phone (509) 586-5111

3730 Plaza Way
Fl 6
Kennewick, WA 99338
Phone (509) 221-2449

216 W 10th Ave
Ste 204
Kennewick, WA 99336
Phone (509) 221-5520

3730 Plaza Way
Kennewick, WA 99338
Phone (509) 221-6350

141 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8880

420 McPhee Rd SW
Olympia, WA 98502
Phone (360) 352-2900

939 Mountain View Dr
Ste 100
Shelton, WA 98584
Phone (360) 426-2653

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 10

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": "1248825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1386875011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749495",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749495",
            "telephone_number": "239-432-8331",
            "fax_number": "813-321-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 LILLY RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065028",
            "telephone_number": "360-413-8880",
            "fax_number": "360-810-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORA",
        "first_name": "AHMAD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-29",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "WA",
            "license": "MD60628996",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "WA",
            "license": "MD60628996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.