Individual provider Active NPI

Kimberly Shani Forte, MD

  • Internal Medicine Physician
  • Alabaster, AL
National Provider Identifier
1568782738
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
31517 Issued in AL
Practice address
1000 1St St N
Alabaster, AL 35007-8703
Phone
(205) 620-7004
NPI assigned
Jun 10, 2010
Last updated
Oct 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036154169 IL
Internal Medicine Physician 207R00000X 31517 AL Primary
Hospitalist Physician 208M00000X 036154169 IL

Addresses

Primary practice location

1000 1St St N
Alabaster, AL 35007-8703

Mailing address

PO Box 836
Eutaw, AL 35462-0836

Other practice location 1

400 NE Mother Joseph Pl
Vancouver, WA 98664-3200
Phone (360) 514-2000

Other identifiers 1

IdentifierTypeStateIssuer
171379MedicaidAL

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address kforte58713@sih.direct-ci.com
Direct Messaging Address kforte58713@sih.direct-ci.com
Direct Messaging Address kforte58713@sih.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA, WA, IL, TN6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20150424000501 AL Practitioner - Internal Medicine 4183852023 Reassigns benefits to 6 organizations
I20170717002163 GA Practitioner - Internal Medicine 4183852023 Reassigns benefits to 2 organizations
I20220228002064 WA Practitioner - Internal Medicine 4183852023 Reassigns benefits to 1 organization
I20220309000322 IL Practitioner - HospitalistPractitioner - Internal Medicine 4183852023 Reassigns benefits to 2 organizations
I20220901003304 WA Practitioner - HospitalistPractitioner - Internal Medicine 4183852023 Reassigns benefits to 1 organization
I20240102000960 TN Practitioner - Internal Medicine 4183852023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Southern Illinois University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians

Practice addresses (Care Compare)

1201 Bishop St
Union City, TN 38261-5403
Phone (731) 885-2410

400 NE Mother Joseph PL
Vancouver, WA 98664-3200
Phone (360) 514-3727

407 14TH Ave SE
Puyallup, WA 98372-3770
Phone (253) 697-4000

6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 226-5000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Sound Inpatient Physicians PLLC Internal Medicine Current Accepting new patients
Southeastern Physician Services PC Internal Medicine CurrentSince Dec 1, 2023 Accepting new patients
Hospital Medicine Associates LLC Internal Medicine CurrentSince Apr 9, 2018 Accepting new patients
Baptist Health Centers, LLC CurrentSince Jul 30, 2019 Accepting new patients
Oak Mountain Group Services, LLC Hospitalist CurrentSince May 28, 2018 Accepting new patients
Carle West Physician Group Inc CurrentSince Jul 2, 2023 Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince Feb 1, 2022 Accepting new patients
Oak Mountain Group Services, LLC CurrentSince May 28, 2018 Accepting new patients
Cogent Healthcare of Georgia PC Internal Medicine CurrentSince Oct 1, 2019 Accepting new patients
Baptist Health Centers LLC CurrentSince Jul 30, 2019 Accepting new patients
Northern Alabama Physicians, LLP CurrentSince Feb 1, 2016 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation Hospitalist CurrentSince May 20, 2017 Accepting new patients
Capital Medical Center Specialty Physicians, LLC Hospitalist CurrentSince Jul 5, 2022 Accepting new patients
Southern Illinois Medical Services, NFP Internal Medicine CurrentSince Mar 16, 2022 Accepting new patients
Vincentian Physician Services LLC Internal Medicine CurrentSince Dec 10, 2017 Accepting new patients
Cogent Healthcare of Washington, PC Internal Medicine CurrentSince Apr 2, 2022 Accepting new patients
Northern Alabama Physicians, LLP Hospitalist CurrentSince Feb 1, 2016 Accepting new patients
South Sound Inpatient Physicians, PLLC Internal Medicine CurrentSince Feb 1, 2022 Accepting new patients

Locations

1000 1st St N
Alabaster, AL 35007
Phone (205) 620-8100

1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

820 W Washington St
Eufaula, AL 36027
Phone (334) 687-5761

3400 Highway 78 E
Jasper, AL 35501
Phone (205) 387-4000

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

3070 Healthy Way
Vestavia, AL 35243
Phone (205) 977-7216

3690 Grandview Pkwy
Vestavia, AL 35243
Phone (205) 592-1000

1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371

2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461

2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300

405 W Jackson St
Carbondale, IL 62901

201 S 14th St
Herrin, IL 62948
Phone (618) 942-2171

2 S Hospital Dr
Murphysboro, IL 62966
Phone (618) 684-3156

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

2124 14th St
Meridian, MS 39301
Phone (601) 483-8811

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

3900 Capital Mall Dr SW
Olympia, WA 98502
Phone (360) 704-4743

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

400 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: kfortemd375577@carlehiedirect.net

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 8

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": "1276128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1568782738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 836",
            "city": "EUTAW",
            "state": "AL",
            "postal_code": "354620836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 1ST ST N",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078703",
            "telephone_number": "205-620-7004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 NE Mother Joseph Pl",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986643200",
            "country_code": "US",
            "telephone_number": "360-514-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORTE",
        "first_name": "KIMBERLY",
        "middle_name": "SHANI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-10",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036154169",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "31517",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036154169",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171379",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kforte58713@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "2 S Hospital Dr",
            "city": "Murphysboro",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629663333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kforte58713@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "201 S 14th St",
            "city": "Herrin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629483631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kforte58713@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "405 W Jackson St",
            "city": "Carbondale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629011462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alabaster, AL

Sources for this page

Verify at the official NPI Registry.