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DR. MICHAEL WILLIAM FORT MD, MPH
NPI 1174151336
Student in an Organized Health Care Education/Training Program in Lebanon, NH

Active since March 31, 2020PECOS Enrolled
1 MEDICAL DR, LEBANON, NH 03756(603) 380-1302 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 30, 2021, Mar 31, 2020 (2 updates tracked since 2020).

About Dr. Michael William Fort Md, Mph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL WILLIAM FORT MD, MPH (NPI 1174151336) is an individual student in an organized health care education/training program in Lebanon, New Hampshire and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174151336
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. MICHAEL WILLIAM FORTCredential: MD, MPH
Location Address1 MEDICAL DRLebanon, NH 03756-1000
Mailing Address1 Medical Center DrLebanon, NH 03756-1000
Phone(603) 380-1302
Sole ProprietorNo
Enumeration DateMarch 31, 2020
Last NPPES UpdateMarch 30, 20212 updates tracked since enumeration
NPPES CertifiedMarch 30, 2021
✔ NPI 1174151336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1 MEDICAL DR, Lebanon, NH 03756
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael William Fort Md, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY L SWANN APRN
Nurse Practitioner
1 MEDICAL DR
LEBANON, NH 03756
Grafton County (603) 650-6224
DR. JESSICA MARGARET SIN M.D., PH.D.
Radiology (Diagnostic Radiology)
1 MEDICAL DR
LEBANON, NH 03756
Grafton County (603) 650-7650
MR. JUSTIN BERNARD MONTGOMERY FNP-C
Nurse Practitioner (Family)
1 MEDICAL DR, ATTN CENTERS FOR HEALTHY AGING
LEBANON, NH 03756
Grafton County (603) 650-5000
MICHELLE GAFFNEY LAIN MD, MS
Student in an Organized Health Care Education/Training Program
1 MEDICAL DR
LEBANON, NH 03756
Grafton County (603) 650-5000
JENNIFER ANNE POPIES AGACNP-BC, ACNS-BC
Nurse Practitioner (Adult Health)
1 MEDICAL DR
LEBANON, NH 03756
Grafton County (603) 650-5000
ILYA NIKOLAEVICH BOYKOV MD
Student in an Organized Health Care Education/Training Program
1 MEDICAL DR
LEBANON, NH 03756
Grafton County (603) 650-5000
XAVIER FOWLER
Student in an Organized Health Care Education/Training Program
1 MEDICAL DR
LEBANON, NH 03756
Grafton County (845) 893-2210
NATALIE NICHOLE ROBERTSON MD
Student in an Organized Health Care Education/Training Program
1 MEDICAL DR
LEBANON, NH 03756
Grafton County (603) 650-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Fort's NPI number?

The NPI number for Michael Fort is 1174151336. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Where is Michael Fort located?

Michael Fort practices at 1 Medical Dr, Lebanon, NH 03756. The listed phone number is (603) 380-1302.

What is Michael Fort's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Michael Fort enrolled in Medicare?

Yes. Michael Fort is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Fort was last updated on March 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.