Individual provider Active NPI

Derek Forsthoefel, M.D.

  • Internal Medicine Physician
  • Bethesda, MD
National Provider Identifier
1861754855
Registry record updated Jan 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35123882 Issued in OH
Practice address
Walter Reed National Military Ctr
8901 Wisconsin Avenue
Bethesda, MD 20889-5600
Phone
(301) 295-0196
NPI assigned
Jun 14, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2016

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 35123882 OH Primary

Addresses

Primary practice location

Walter Reed National Military Ctr
8901 Wisconsin Avenue
Bethesda, MD 20889-5600

Mailing address

Walter Reed National Military Ctr
8901 Wisconsin Avenue
Bethesda, MD 20889-5600
Phone (301) 295-0196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20190624002530 OH Practitioner - Internal Medicine 7911139001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Northeastern Ohio University College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Care Group PCGroup PAC ID 7416107487, 29 clinicians

Practice addresses (Care Compare)

1600 E Riverview
Napoleon, OH 43545-9399
Phone (260) 344-3045

800 W Main St
Coldwater, OH 45828-1613
Phone (260) 344-4035

835 Sweitzer St
Greenville, OH 45331-1007
Phone (260) 344-4035

915 Michigan St
Sidney, OH 45365-2401
Phone (260) 344-4035

Hospital & facility affiliations

  • Mercer County Joint Township Community Hospital Hospital, Coldwater, OH, CCN 360058
  • Mercy Health St Ritas Medical Center Hospital, Lima, OH, CCN 360066
  • Ohio State University State Health System Hospital, Columbus, OH, CCN 360085
  • Lima Memorial Health System Hospital, Lima, OH, CCN 360009
  • Grand Lake Health System Hospital, Saint Marys, OH, CCN 360032

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35123882OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Care Group, P.C. Internal Medicine CurrentSince Jun 15, 2019 Accepting new patients

Locations

6435 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 436-7875

800 W Main St
Coldwater, OH 45828
Phone (419) 678-2341

835 Sweitzer St
Greenville, OH 45331
Phone (937) 548-1141

1600 E Riverview Ave
Napoleon, OH 43545
Phone (260) 344-3045

Interoperability endpoints

  • Direct secure messaging: dforsthoefel695769@direct.osumc.edu

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 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": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452470400000",
    "number": "1861754855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WALTER REED NATIONAL MILITARY CTR",
            "address_2": "8901 WISCONSIN AVENUE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208895600",
            "telephone_number": "301-295-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WALTER REED NATIONAL MILITARY CTR",
            "address_2": "8901 WISCONSIN AVENUE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208895600",
            "telephone_number": "301-295-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORSTHOEFEL",
        "first_name": "DEREK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-14",
        "last_updated": "2016-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35123882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.