Active NPI
Tamilla Ann Fork, M.D.
- Gynecology Physician
- Weston, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 0065419
- Practice address
- 2950 Cleveland Clinic Blvd
Weston, FL 33331-3609 - Phone
- (954) 659-5000
- NPI assigned
- Jul 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 0065419 | FL | Primary |
Addresses
Primary practice location
2950 Cleveland Clinic Blvd
Weston, FL 33331-3609
Mailing address
2950 Cleveland Clinic Blvd
Weston, FL 33331-3625
Phone (954) 659-5000
Other practice location 1
5701 N University Dr
Parkland, FL 33067-1703
Phone (954) 517-7500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 277932300 | Medicaid | FL |
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
- Obstetrics/Gynecology
- Education
- University of Miami, LM Miller School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2950 Cleveland Clinic Blvd
Weston, FL 33331-3609
Phone (954) 659-5000
5701 N University Dr
Coral Springs, FL 33067-1703
Phone (877) 463-2010
Hospital & facility affiliations
- Cleveland Clinic Hospital
- Boca Raton Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.26 of 100
- Quality
- 80.2
- Promoting interoperability
- 99.24
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0065419 | FL | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients | |
| Cleveland Clinic Florida a Nonprofit Corporation | Current | Accepting new patients | |
| Estevez&Fork MDS PA | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
7857 N University Dr
Parkland, FL 33067
Phone (954) 518-7000
5701 N University Dr
Parkland, FL 33067
Phone (954) 518-7500
525 Okeechobee Blvd
Fl 14
West Palm Beach, FL 33401
Phone (561) 804-0200
2950 Cleveland Clinic Blvd
Weston, FL 33331
Phone (954) 689-5000
Interoperability endpoints
- tforkmd4946@direct.ccf.org
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.
-
- Clinic/Center
- Weston, FL
- NPI 1215989298
-
- Obstetrics & Gynecology Physician
- Boca Raton, FL
- NPI 1982637146
-
- General Acute Care Hospital
- Euclid, OH
- NPI 1457403016
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boca Raton, FL
- NPI 1902826779
-
- General Acute Care Hospital
- Weston, FL
- NPI 1083644033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769126400000",
"number": "1912939422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2950 CLEVELAND CLINIC BLVD",
"city": "WESTON",
"state": "FL",
"postal_code": "333313625",
"telephone_number": "954-659-5000",
"fax_number": "954-517-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2950 CLEVELAND CLINIC BLVD",
"city": "WESTON",
"state": "FL",
"postal_code": "333313609",
"telephone_number": "954-659-5000"
}
],
"practiceLocations": [
{
"address_1": "5701 N University Dr",
"address_purpose": "LOCATION",
"city": "Parkland",
"state": "FL",
"postal_code": "330671703",
"country_code": "US",
"telephone_number": "954-517-7500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FORK",
"first_name": "TAMILLA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2026-01-23",
"certification_date": "2026-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "FL",
"license": "0065419",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "277932300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; 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.