Individual provider Active NPI

Michael J Forsberg, M.D.

  • Cardiovascular Disease Physician
  • Saint Louis, MO
National Provider Identifier
1518047406
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2006009449 Issued in MO
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20071025000548 MO Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8527155332 Reassigns benefits to 2 organizations
I20240510002143 IL Practitioner - Cardiovascular Disease (Cardiology) 8527155332 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
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
SSM Medical Group IncGroup PAC ID 6608776299, 565 clinicians

Practice addresses (Care Compare)

12266 Depaul Dr
Suite 205
Bridgeton, MO 63044-2514
Phone (314) 645-6450

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2006009449MOMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Hospital Physician Billing Services LLC Cardiovascular Disease CurrentSince May 1, 2024 Accepting new patients
St Louis Cardiology Consultants LTD Cardiovascular Disease CurrentSince May 1, 2024 Accepting new patients
Alton Memorial Physician Billing Services LLC CurrentSince May 1, 2024 Accepting new patients
SSM Medical Group Inc. CurrentSince Mar 21, 2024 Accepting new patients
SSM Medical Group, Inc. Cardiovascular Disease CurrentSince Mar 21, 2024 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

  • Direct secure messaging: mforsberg18218@direct-ehr-ssmhc.com
  • FHIR API: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.