NPIMap

Individual provider Active NPI

Joel Forman, M.D.

  • Cardiovascular Disease Physician
  • Cincinnati, OH
National Provider Identifier
1447227111
Registry record updated Oct 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35085847 Issued in OH
Practice address
7545 Beechmont Ave
Cincinnati, OH 45255-4222
Phone
(513) 206-1320
Fax
(513) 232-8483
NPI assigned
Mar 2, 2006
Last updated
Oct 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35085847 OH Primary
Nuclear Cardiology Physician 207UN0901X 35085847 OH

Addresses

Primary practice location

7545 Beechmont Ave
Cincinnati, OH 45255-4222

Mailing address

237 William Howard Taft Rd
2ND Floor, Cbo 2-3
Cincinnati, OH 45219-2610
Phone (513) 206-1320

Other identifiers 6

IdentifierTypeStateIssuer
000000360761OtherOHANTHEM
7304089OtherAETNA
25-04610OtherUNITED
2581488MedicaidOH
64097819MedicaidKY
85847OtherHUMANA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jforman7142@direct.thechristhospital.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20050321000985 OH Practitioner - Cardiovascular Disease (Cardiology) 2860447067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Ohio State University College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Christ Hospital Cardiovascular Associates LLCGroup PAC ID 1658449715, 151 clinicians

Practice addresses (Care Compare)

7545 Beechmont Ave
Suite D
Cincinnati, OH 45255-4238
Phone (513) 206-1320

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.59 of 100Reported as group
Quality
77.64
Promoting interoperability
100
Improvement activities
40
Cost
77.68

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Christ Hospital Cardiovascular Associates LLC Cardiovascular Disease CurrentSince Oct 1, 2008 Accepting new patients
Christ Hospital Cardiology Assoc Cardiovascular Disease Past Accepting new patients
Ohio Heart and Vascular Center, Inc Cardiovascular Disease Past Accepting new patients
Del Mazo Medical Services PastSince Aug 27, 2012 Accepting new patients
Brook Cardiothoracic Surgery LLC Past Accepting new patients

Locations

2123 Auburn Ave
Ste 136
Cincinnati, OH 45219
Phone (513) 206-1060

2123 Auburn Ave
Ste 139
Cincinnati, OH 45219
Phone (513) 206-1170

2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406

2454 Kipling Ave
Ste G20
Cincinnati, OH 45239
Phone (513) 541-0700

7545 Beechmont Ave
Ste D
Cincinnati, OH 45255
Phone (513) 206-1060

8000 5 Mile Rd
Ste 310
Cincinnati, OH 45230
Phone (513) 232-0120

10506 Montgomery Rd
Ste 504
Montgomery, OH 45242
Phone (513) 221-3800

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603497600000",
    "number": "1447227111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 WILLIAM HOWARD TAFT RD",
            "address_2": "2ND FLOOR, CBO 2-3",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192610",
            "telephone_number": "513-206-1320",
            "fax_number": "513-232-8483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7545 BEECHMONT AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452554222",
            "telephone_number": "513-206-1320",
            "fax_number": "513-232-8483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORMAN",
        "first_name": "JOEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2020-10-24",
        "certification_date": "2020-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35085847",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "OH",
            "license": "35085847",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000360761",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7304089",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "25-04610",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2581488",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64097819",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "85847",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jforman7142@direct.thechristhospital.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7545 Beechmont Ave",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452554222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.