Active NPI
Michael J Forsberg, M.D.
- Cardiovascular Disease Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 2006009449
- Practice address
- 3635 Vista Ave
13TH Floor FDT
Saint Louis, MO 63110-2539 - Phone
- (314) 577-8881
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 2006009449 | MO | Primary |
Addresses
Primary practice location
3635 Vista Ave
13TH Floor FDT
Saint Louis, MO 63110-2539
Mailing address
3937 Hartford St
Saint Louis, MO 63116-3909
Phone (314) 577-6213
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
- 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 Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Saint Louis University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12266 Depaul Dr
Suite 205
Bridgeton, MO 63044-2514
Phone (314) 645-6450
Hospital & facility affiliations
- SSM St Joseph Hospital West
- SSM St Joseph Health Center
- Barnes-Jewish St Peters Hospital
- St Lukes Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 33 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006009449 | MO | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christian Hospital Physician Billing Services LLC | Cardiovascular Disease | Current | Accepting new patients |
| St Louis Cardiology Consultants LTD | Cardiovascular Disease | Current | Accepting new patients |
| Alton Memorial Physician Billing Services LLC | Current | Accepting new patients | |
| SSM Medical Group Inc. | Current | Accepting new patients | |
| SSM Medical Group, Inc. | Cardiovascular Disease | Current | Accepting new patients |
Locations
1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240
2 Memorial Dr
Ste 122
Alton, IL 62002
Phone (618) 462-6612
2 Memorial Dr
Ste 102
Alton, IL 62002
Phone (618) 288-0900
1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115
3635 Vista Ave
Fl 13
Saint Louis, MO 63110
Phone (314) 577-8894
3555 Sunset Office Dr
Ste C100
Saint Louis, MO 63127
Phone (314) 238-9100
11125 Dunn Rd
Ste 204
Saint Louis, MO 63136
Phone (314) 355-2300
3635 Vista Ave
Saint Louis, MO 63110
Phone (314) 577-8022
Interoperability endpoints
- mforsberg18218@direct-ehr-ssmhc.com
- https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Fenton, MO
- NPI 1700966207
Cardiovascular Disease
-
- Cardiovascular Disease Physician
- Saint Louis, MO
- NPI 1689828501
-
- Multi-Specialty Clinic/Center
- Alton, IL
- NPI 1558783647
-
- Cardiovascular Disease Physician
- Alton, IL
- NPI 1801831045
-
- Durable Medical Equipment & Medical Supplies
- Warrenton, MO
- NPI 1467997155
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Peters, MO
- NPI 1144238908
-
- General Acute Care Hospital
- Saint Charles, MO
- NPI 1467521146
-
- General Acute Care Hospital
- Lake St Louis, MO
- NPI 1871665380
-
- General Acute Care Hospital
- Chesterfield, MO
- NPI 1346251543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518047406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3937 HARTFORD ST",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631163909",
"telephone_number": "314-577-6213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3635 VISTA AVE",
"address_2": "13TH FLOOR FDT",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631102539",
"telephone_number": "314-577-8881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORSBERG",
"first_name": "MICHAEL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MO",
"license": "2006009449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.