NPIMap

Individual provider Active NPI

Jeffrey David Forman, MD

  • Pulmonary Disease Physician
  • Suffolk, VA
National Provider Identifier
1649233917
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
0101052413 Issued in VA
Practice address
2000 Meade Parkway
Suffolk, VA 23434-4259
Phone
(757) 539-0251
Fax
(757) 539-6237
NPI assigned
Apr 8, 2006
Last updated
Oct 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 0101052413 VA
Pulmonary Disease Physician 207RP1001X 0101052413 VA Primary

Addresses

Primary practice location

2000 Meade Parkway
Suffolk, VA 23434-4259

Mailing address

PO Box 7068
Portsmouth, VA 23707-0068
Phone (757) 686-3508

Other identifiers 4

IdentifierTypeStateIssuer
290007366OtherVARAILROAD MEDICARE
6040748MedicaidVA
7905005MedicaidNC
02136354MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100420000600 VA Practitioner - Pulmonary Disease 2961467576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Hahnemann University College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayview Physician Services PCGroup PAC ID 5597664201, 311 clinicians

Practice addresses (Care Compare)

4868 Bridge Rd
Suffolk, VA 23435-2048
Phone (757) 483-7113

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101052413VAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bayview Physician Services, PC Critical Care Medicine CurrentSince Apr 1, 2013 Accepting new patients
Bayview Medical Center, Inc Current Accepting new patients
Bayview Physician Services, PC Current Accepting new patients
Bayview Physician Services, PC CurrentSince Apr 1, 2013 Accepting new patients

Locations

20209 Sentara Way
Carrollton, VA 23314
Phone (757) 357-5307

111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210

3241 Western Branch Blvd
Chesapeake, VA 23321
Phone (757) 686-3500

3241 Western Branch Blvd
Ste A
Chesapeake, VA 23321

2000 Meade Pkwy
Suffolk, VA 23434
Phone (757) 539-0251

2000 Meade Pkwy
Ste 110
Suffolk, VA 23434
Phone (757) 934-9406

2000 Meade Pkwy
Ste 195
Suffolk, VA 23434

4868 Bridge Rd
Suffolk, VA 23435
Phone (757) 483-7113

4868 Bridge Rd
Ste 300
Suffolk, VA 23435
Phone (757) 483-7100

4868 Bridge Rd
Ste 370
Suffolk, VA 23435
Phone (757) 686-9400

Interoperability endpoints

  • Direct secure messaging: jeffrey.forman@bayview.eclinicaldirectplus.com
  • Direct secure messaging: jeffreyforman@lmcva.allscriptsdirect.net

Organizations & group practices 6

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 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": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1649233917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7068",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237070068",
            "telephone_number": "757-686-3508",
            "fax_number": "757-686-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MEADE PARKWAY",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234344259",
            "telephone_number": "757-539-0251",
            "fax_number": "757-539-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORMAN",
        "first_name": "JEFFREY",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-08",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "VA",
            "license": "0101052413",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": "0101052413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "290007366",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6040748",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7905005",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02136354",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.