Individual provider Active NPI

Christopher Joseph Forsbach, D.P.M.

  • Podiatrist
  • Saint Louis, MO
National Provider Identifier
1669869657
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2017007738 Issued in MO
Practice address
12855 N 40 Dr
Saint Louis, MO 63141
Phone
(314) 434-9600
Fax
(314) 434-9601
NPI assigned
Apr 17, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 2017007738 MO Primary

Addresses

Primary practice location

12855 N 40 Dr
Saint Louis, MO 63141

Mailing address

12855 N 40 Dr
Ste 175
Saint Louis, MO 63141-8664
Phone (314) 434-9600

Other practice location 1

12303 De Paul Dr
Bridgeton, MO 63044-2512
Phone (314) 344-6000

Other practice location 2

12855 N 40 Dr
Ste 175
Saint Louis, MO 63141-8664
Phone (314) 434-9600

Other identifiers 1

IdentifierTypeStateIssuer
300052816MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180530003078 MO Practitioner - Podiatry 3072878701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Steven Frank, DPM, LLCGroup PAC ID 1759443302, 4 clinicians

Practice addresses (Care Compare)

12855 N 40 Dr
Suite 175
Saint Louis, MO 63141-8664
Phone (314) 434-9600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions49
Removal of nail tissue428
Removal or shaving of skin growth133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: cforsbach110807@direct-ehr-ssmhc.com

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1429228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1669869657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12855 N 40 DR",
            "address_2": "STE 175",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418664",
            "telephone_number": "314-434-9600",
            "fax_number": "314-434-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12855 N 40 DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63141",
            "telephone_number": "314-434-9600",
            "fax_number": "314-434-9601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12303 De Paul Dr",
            "address_purpose": "LOCATION",
            "city": "Bridgeton",
            "state": "MO",
            "postal_code": "630442512",
            "country_code": "US",
            "telephone_number": "314-344-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12855 N 40 DR",
            "address_2": "STE 175",
            "address_purpose": "LOCATION",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418664",
            "country_code": "US",
            "telephone_number": "314-434-9600",
            "fax_number": "314-434-9601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORSBACH",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOSEPH",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-17",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MO",
            "license": "2017007738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300052816",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.