Individual provider Active NPI

Andrew Christopher Forrestel, MD

  • Internal Medicine Physician
  • Smethport, PA
National Provider Identifier
1760918114
Registry record updated Jan 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
61058 Issued in AZ
Practice address
405 W Water St
Smethport, PA 16749-1170
Phone
(314) 888-5233
NPI assigned
May 4, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 61058 AZ Primary

Addresses

Primary practice location

405 W Water St
Smethport, PA 16749-1170

Mailing address

405 W Water St
Smethport, PA 16749-1170
Phone (314) 888-5233

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
I20211209003033 PA Practitioner - HospitalistPractitioner - Internal Medicine 8820353196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
University of Rochester School of Medicine and Dentistry, 2017
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1180 Newfield Ave
Stamford, CT 06905-1409

15059 N Scottsdale Rd
Suite 600
Scottsdale, AZ 85254-2685

232 W 25TH St
Erie, PA 16544-0002

704 N Main St
Meadville, PA 16335-1955

P O Box
Suite 708760
Sandy, UT 84070-8760

Hospital & facility affiliations

  • Visiting Nurse Association of Erie County Home health agency, Erie, PA, CCN 397034

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61058AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group of Pennsylvania PC Internal Medicine CurrentSince Nov 21, 2021 Accepting new patients
My Catholic Doctor, P.L.L.C. CurrentSince Oct 6, 2021 Accepting new patients
Apogee Medical Group of Pennsylvania PC Internal Medicine CurrentSince Nov 21, 2021 Accepting new patients

Locations

15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601

232 W 25th St
Erie, PA 16544
Phone (814) 452-5337

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

Organizations & group practices 3

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 1

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": "1493856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674864000000",
    "number": "1760918114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 W WATER ST",
            "city": "SMETHPORT",
            "state": "PA",
            "postal_code": "167491170",
            "telephone_number": "314-888-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W WATER ST",
            "city": "SMETHPORT",
            "state": "PA",
            "postal_code": "167491170",
            "telephone_number": "314-888-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORRESTEL",
        "first_name": "ANDREW",
        "middle_name": "CHRISTOPHER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-04",
        "last_updated": "2023-01-28",
        "certification_date": "2023-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "61058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smethport, PA

Sources for this page

Verify at the official NPI Registry.