Individual provider Active NPI

Kelly June Forsthoefel, MD

  • Obstetrics & Gynecology Physician
  • Tallahassee, FL
National Provider Identifier
1972034908
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME148215 Issued in FL
Practice address
1405 Centerville Rd Ste 4200
Tallahassee, FL 32308-4622
Phone
(850) 848-4628
Fax
(850) 702-9727
NPI assigned
Mar 22, 2017
Last updated
Jul 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME148215 FL Primary

Addresses

Primary practice location

1405 Centerville Rd Ste 4200
Tallahassee, FL 32308-4622

Mailing address

1405 Centerville Rd Ste 4200
Tallahassee, FL 32308-4622
Phone (850) 848-4628

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210510000875 FL Practitioner - Obstetrics/Gynecology 1456690031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1405 Centerville Rd
Suite 4200
Tallahassee, FL 32308-4622
Phone (850) 848-4628

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gynecology & Obstetrics Associates of Tallahassee PLLC Obstetrics & Gynecology CurrentSince Jul 1, 2021 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

1405 Centerville Rd
Ste 4200
Tallahassee, FL 32308
Phone (850) 877-3549

Interoperability endpoints

  • Direct secure messaging: kelly.forsthoefel.1@19566.direct.athenahealth.com
  • Direct secure messaging: kforsthoefel21786@tallahasseememorial.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1972034908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 CENTERVILLE RD STE 4200",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084622",
            "telephone_number": "850-848-4628",
            "fax_number": "850-702-9727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 CENTERVILLE RD STE 4200",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084622",
            "telephone_number": "850-848-4628",
            "fax_number": "850-702-9727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORSTHOEFEL",
        "first_name": "KELLY",
        "middle_name": "JUNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-22",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME148215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.