Active NPI
Daniel M Forrest, D.O.
- Diagnostic Radiology Physician
- Cocoa Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- OS9529
- Practice address
- 701 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3585 - Phone
- (321) 799-7111
- Fax
- (770) 237-4866
- NPI assigned
- Aug 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | OS9529 | FL | |
| Nuclear Radiology Physician | 2085N0904X | OS9529 | FL | |
| Pediatric Radiology Physician | 2085P0229X | OS9529 | FL | |
| Diagnostic Radiology Physician | 2085R0202X | OS9529 | FL | Primary |
| Vascular & Interventional Radiology Physician | 2085R0204X | OS9529 | FL | |
| Diagnostic Ultrasound Physician | 2085U0001X | OS9529 | FL |
Addresses
Primary practice location
701 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3585
Mailing address
PO Box 2400
Melbourne, FL 32902-2400
Phone (866) 744-1461
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16487 | Other | FL | BCBS |
| 273327700 | Medicaid | FL | |
| 16487W | Other | FL | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1223 Gateway Dr
Melbourne, FL 32901-2607
Phone (321) 725-4500
1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-7000
1425 Malabar Rd NE
Palm Bay, FL 32907-2506
Phone (321) 434-8000
701 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3585
Phone (321) 799-7111
8731 N Wickham Rd
Melbourne, FL 32940-5997
Phone (321) 434-9000
8745 N Wickham Rd
Melbourne, FL 32940-5997
Phone (321) 434-9000
Hospital & facility affiliations
- Viera Hospital
- Holmes Regional Medical Center
- Cape Canaveral Hospital
- Palm Bay Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS9529 | FL | MD | Diagnostic Ultrasound Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health First Medical Group, LLC | Current | Accepting new patients | |
| Health First Medical Group, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health First Physician Specialties Inc | Past | Accepting new patients |
Locations
699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272
701 W Cocoa Beach Cswy
Cocoa Beach, FL 32931
Phone (321) 799-7111
730 Malabar Rd
Ste A
Malabar, FL 32950
Phone (321) 312-3467
1223 Gateway Dr
Melbourne, FL 32901
Phone (321) 549-0677
1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771
1223 Gateway Dr
Ste 1F
Melbourne, FL 32901
Phone (321) 215-4910
1130 Hickory St
Ste A
Melbourne, FL 32901
Phone (321) 409-1956
255 Borman Dr
Merritt Island, FL 32953
Phone (321) 434-4552
1425 Malabar Rd NE
Palm Bay, FL 32907
Phone (321) 434-8000
1421 Malabar Rd NE
Ste 210
Palm Bay, FL 32907
Phone (321) 434-8140
490 N Washington Ave
Titusville, FL 32796
Phone 32126842003506
1855 Knox McRae Dr
Titusville, FL 32780
Phone (321) 269-2028
8725 N Wickham Rd
Ste 200
Viera, FL 32940
Phone (321) 253-4673
7125 Murrell Rd
Ste B
Viera, FL 32940
Phone (321) 361-5588
Interoperability endpoints
- dforrest71407@epicdirect.hf.org
Organizations & group practices 4
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.
-
- General Practice Physician
- Melbourne, FL
- NPI 1750626495
Diagnostic Radiology
-
- Anesthesiology Physician
- Melbourne, FL
- NPI 1598008955
-
- General Practice Physician
- Rockledge, FL
- NPI 1073268934
-
- Orthopaedic Trauma Physician
- Melbourne, FL
- NPI 1336390020
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cocoa Beach, FL
- NPI 1184691610
-
- General Acute Care Hospital
- Palm Bay, FL
- NPI 1386940823
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1730494816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376870400000",
"number": "1831107754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2400",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329022400",
"telephone_number": "866-744-1461",
"fax_number": "770-621-3181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 W COCOA BEACH CSWY",
"city": "COCOA BEACH",
"state": "FL",
"postal_code": "329313585",
"telephone_number": "321-799-7111",
"fax_number": "770-237-4866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORREST",
"first_name": "DANIEL",
"middle_name": "M",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2013-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "FL",
"license": "OS9529",
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "FL",
"license": "OS9529",
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "FL",
"license": "OS9529",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "OS9529",
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "FL",
"license": "OS9529",
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "FL",
"license": "OS9529",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "16487",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "273327700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "16487W",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cocoa Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.