Individual provider Active NPI

Kenneth Edward Fore II, MD

  • Psychiatry Physician
  • Portsmouth, VA
National Provider Identifier
1407059637
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101247468 Issued in VA
Practice address
620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Phone
(757) 953-5000
NPI assigned
Jun 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0101247468 VA Primary

Addresses

Primary practice location

620 John Paul Jones Cir
Portsmouth, VA 23708-2111

Mailing address

620 John Paul Jones Cir
Portsmouth, VA 23708-2111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20100826001213 VA Practitioner - Psychiatry 4688798655 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1049 Claymont Dr
Lynchburg, VA 24502-4481

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eventus WH Mid-Atlantic, LLC CurrentSince Oct 1, 2024 Accepting new patients
Eventus WH PLLC Care, LLC CurrentSince Dec 1, 2025 Accepting new patients
Arman C. Moshyedi, MD, PLLC Psychiatry CurrentSince Dec 24, 2020 Accepting new patients
Premier Psychiatric Solutions PLLC Psychiatry CurrentSince Sep 1, 2023 Accepting new patients
Eventus Premier Healthcare LLC CurrentSince Aug 1, 2024 Accepting new patients
Premier Geriatric Solutions PLLC CurrentSince Apr 1, 2023 Accepting new patients
Eventus WH Mid-Atlantic Care LLC CurrentSince Oct 22, 2024 Accepting new patients

Locations

2203 Graves Mill Rd
Ste B
Forest, VA 24551
Phone (434) 473-7393

4701 Cox Rd
Ste 285
Glen Allen, VA 23060
Phone (540) 255-3881

8405 Greensboro Dr
Ste 120
McLean, VA 22102
Phone (571) 359-1171

250 Browns Hill Ct
Midlothian, VA 23114
Phone (424) 328-6526

999 Waterside Dr
Ste 2525
Norfolk, VA 23510
Phone (757) 777-3787

2965 Colonnade Dr
Ste 307
Roanoke, VA 24018
Phone (540) 344-5300

6701 Peters Creek Rd
Ste 110
Roanoke, VA 24019
Phone (800) 765-7130

Organizations & group practices 7

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": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1407059637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 JOHN PAUL JONES CIR",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237082111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 JOHN PAUL JONES CIR",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237082111",
            "telephone_number": "757-953-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORE",
        "first_name": "KENNETH",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101247468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

Verify at the official NPI Registry.