Active NPI
Kyle Alfred Forte
- Emergency Medicine Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 95082
- Practice address
- 10800 Knights Rd
Philadelphia, PA 19114-4299 - Phone
- (215) 612-5161
- Fax
- (215) 612-4069
- NPI assigned
- Jun 27, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 95082 | GA | Primary |
Addresses
Primary practice location
10800 Knights Rd
Philadelphia, PA 19114-4299
Mailing address
112 Wall St
St Simons Island, GA 31522-5838
Phone (270) 493-2003
Other practice location 1
112 Wall St
St Simons Island, GA 31522-5838
Phone (270) 493-2003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95082 | GA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physicians Inc | Emergency Medicine | Current | Accepting new patients |
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
Locations
2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079
1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521
1099 Medical Center Cir
Mayfield, KY 42066
Phone (270) 251-4100
265 Brookview Centre Way
Ste 203
Knoxville, TN 37919
Phone (865) 500-1254
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Brunswick, GA
- NPI 1477001972
-
- Emergency Medicine Physician
- Maysville, KY
- NPI 1356379382
-
- Emergency Medicine Physician
- Myrtle Beach, SC
- NPI 1861430555
GA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687910400000",
"number": "1467947986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 WALL ST",
"city": "ST SIMONS ISLAND",
"state": "GA",
"postal_code": "315225838",
"telephone_number": "270-493-2003",
"fax_number": "215-612-4069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10800 KNIGHTS RD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191144299",
"telephone_number": "215-612-5161",
"fax_number": "215-612-4069"
}
],
"practiceLocations": [
{
"address_1": "112 Wall St",
"address_purpose": "LOCATION",
"city": "St Simons Island",
"state": "GA",
"postal_code": "315225838",
"country_code": "US",
"telephone_number": "270-493-2003",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FORTE",
"first_name": "KYLE",
"middle_name": "ALFRED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-27",
"last_updated": "2023-06-28",
"certification_date": "2023-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "95082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.