FORWARD CARE FAMILY PRACTICE, PLLC
NPI 1205435880
Physician Assistant in Glendale, AZ
About Forward Care Family Practice, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FORWARD CARE FAMILY PRACTICE, PLLC (NPI 1205435880) is a healthcare organization registered as a physician assistant in Glendale, Arizona and active in the NPI registry since October 2020. The organization lists Ellana Davidov, Authorized Official/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Forward Care Family Practice, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Forward Care Family Practice, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Forward Care Family Practice, PLLC's NPI number?
The NPI number for Forward Care Family Practice, PLLC is 1205435880. It was assigned to this organization in the NPPES registry on October 23, 2020.
Where is Forward Care Family Practice, PLLC located?
Forward Care Family Practice, PLLC is located at 7800 N 55th Ave, Glendale, AZ 85301. The listed phone number is (602) 373-8968.
What is Forward Care Family Practice, PLLC's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Forward Care Family Practice, PLLC enrolled in Medicare?
Yes. Forward Care Family Practice, PLLC is registered in the Medicare PECOS enrollment system.
When is Forward Care Family Practice, PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arizona, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Forward Care Family Practice, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Forward Care Family Practice, PLLC, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Forward Care Family Practice, PLLC accept?
Health plans from Ambetter from Arizona Complete Health list Forward Care Family Practice, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Forward Care Family Practice, PLLC was last updated on October 26, 2020. 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.
# Forward Care Family Practice, Pllc · NPI 1205435880
Physician Assistant organization in Glendale, Arizona. Organization record, active in the CMS NPPES registry since October 23, 2020.
## Identity
- **NPI:** 1205435880 (Entity type: Organization)
- **Enumerated:** October 23, 2020
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **Organization subpart:** No
- **Authorized official:** Ellana Davidov, AUTHORIZED OFFICIAL/OWNER
## Practice location
- **Address:** 7800 N 55TH AVE, Glendale, AZ 85301-1321
- **Phone:** (602) 373-8968
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Arizona, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (1), Nurse Practitioner (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 26, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1205435880) · Data from the CMS NPPES public registry.