Individual provider Active NPI

Kyle L Forsyth, MD

  • Family Medicine Physician
  • Devon, PA
National Provider Identifier
1629183033
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD033804E Issued in PA
Practice address
139 Berkeley Rd
Devon, PA 19333-1544
Phone
(610) 687-0715
Fax
(610) 964-1228
NPI assigned
Aug 19, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD033804E PA Primary

Addresses

Primary practice location

139 Berkeley Rd
Devon, PA 19333-1544

Mailing address

139 Berkeley Rd
Devon, PA 19333-1544
Phone (610) 687-0715

Other identifiers 1

IdentifierTypeStateIssuer
10926873OtherCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110216000048 PA Practitioner - Family Practice 6507046075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Devon Family Practice LLPGroup PAC ID 8224218078, 8 clinicians

Practice addresses (Care Compare)

139 Berkley Rd
Devon, PA 19333-1544
Phone (610) 687-0715

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Devon Family Practice LLP Family Medicine CurrentSince Nov 9, 2010 Accepting new patients

Locations

139 Berkley Rd
Devon, PA 19333
Phone (610) 687-0715

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EFDDBA

Organizations & group practices 1

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 7

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1629183033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 BERKELEY RD",
            "city": "DEVON",
            "state": "PA",
            "postal_code": "193331544",
            "telephone_number": "610-687-0715",
            "fax_number": "610-964-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 BERKELEY RD",
            "city": "DEVON",
            "state": "PA",
            "postal_code": "193331544",
            "telephone_number": "610-687-0715",
            "fax_number": "610-964-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORSYTH",
        "first_name": "KYLE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD033804E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10926873",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Devon, PA

Sources for this page

Verify at the official NPI Registry.