Active NPI
Forrest Yeakley, DO
- Internal Medicine Physician
- Caldwell, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- O-2015
- Practice address
- 712 Aviation Way
Caldwell, ID 83605-1154 - Phone
- (208) 302-7100
- Fax
- (208) 302-7155
- NPI assigned
- Apr 17, 2018
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036156716 | IL | |
| Internal Medicine Physician | 207R00000X | 10439T | AZ | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | O-2015 | ID | Primary |
Addresses
Primary practice location
712 Aviation Way
Caldwell, ID 83605-1154
Mailing address
PO Box 190930
Boise, ID 83719-0930
Phone (208) 367-5170
Other practice location 1
3536 W Glendale Ave
Phoenix, AZ 85051-8395
Phone (480) 618-0177
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, AZ, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Pacific NW Un of HS, Col of Osteopathic Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 367-2121
Hospital & facility affiliations
- Saint Alphonsus Regional Medical Center
- Saint Alphonsus Medical Center - Nampa
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036156716 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oak Street Health Physicians Group of Arizona PLLC | Family Medicine | Current | Accepting new patients |
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients | |
| Oak Street Health Physicians Group, PC | Internal Medicine | Current | Accepting new patients |
| Saint Alphonsus Regional Medical Center Inc | Family Medicine | Current | Accepting new patients |
Locations
183 W Apache Trl
Ste B109
Apache Junction, AZ 85120
Phone (480) 618-0945
2850 E Main St
Ste 106
Mesa, AZ 85213
Phone (480) 618-0019
3536 W Glendale Ave
Phoenix, AZ 85051
Phone (480) 618-0177
3820 N Oracle Rd
Tucson, AZ 85705
Phone (520) 200-6707
1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152
712 Aviation Way
Caldwell, ID 83605
Phone (208) 302-7100
3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400
4848 W Irving Park Rd
Chicago, IL 60641
Phone (773) 724-6200
822 Summit St
Ste 84
Elgin, IL 60120
Phone (847) 306-7093
301 E State St
Rockford, IL 61104
Phone (815) 201-1970
Interoperability endpoints
- fyeakley4493571@direct.trinity-health.org
Organizations & group practices 5
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.
-
- Psychologist
- Boise, ID
- NPI 1649357716
-
- Primary Care Clinic/Center
- Apache Junction, AZ
- NPI 1063083590
Family Medicine
-
- Primary Care Clinic/Center
- Chicago, IL
- NPI 1083051643
Internal Medicine
-
- Psychiatric Hospital Unit
- Boise, ID
- NPI 1770687857
-
- Family Medicine Physician
- Caldwell, ID
- NPI 1861676298
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Nampa, ID
- NPI 1659371870
-
- General Acute Care Hospital
- Boise, ID
- NPI 1184155426
-
- General Acute Care Hospital
- Boise, ID
- NPI 1457414948
-
- Psychiatric Hospital Unit
- Boise, ID
- NPI 1770687857
-
- Family Medicine Physician
- Caldwell, ID
- NPI 1861676298
Hospital
-
- General Acute Care Hospital
- Boise, ID
- NPI 1992736649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754870400000",
"number": "1841787611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 190930",
"city": "BOISE",
"state": "ID",
"postal_code": "837190930",
"telephone_number": "208-367-5170",
"fax_number": "208-367-5180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 AVIATION WAY",
"city": "CALDWELL",
"state": "ID",
"postal_code": "836051154",
"telephone_number": "208-302-7100",
"fax_number": "208-302-7155"
}
],
"practiceLocations": [
{
"address_1": "3536 W Glendale Ave",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850518395",
"country_code": "US",
"telephone_number": "480-618-0177",
"fax_number": "620-371-2243",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YEAKLEY",
"first_name": "FORREST",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-17",
"last_updated": "2025-08-11",
"certification_date": "2025-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036156716",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "10439T",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "ID",
"license": "O-2015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Caldwell, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.