NATHANIEL HAMILTON FORMAN M.D.
NPI 1629509302
Pediatrics - Pediatric Emergency Medicine in Hollywood, FL
About Nathaniel Hamilton Forman M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NATHANIEL HAMILTON FORMAN M.D. (NPI 1629509302) is an individual pediatric emergency medicine provider in Hollywood, Florida, licensed in Florida (ME160857) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, maintains 7 additional practice locations, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 7
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nathaniel Hamilton Forman M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Nathaniel Forman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hollywood, FL 33021
- Reassigned Medicare billing, Florida enrollment
- 175 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
HOLLYWOOD, FL 33021
HOLLYWOOD, FL 33021
HOLLYWOOD, FL 33021
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 Nathaniel Forman's NPI number?
The NPI number for Nathaniel Forman is 1629509302. It was assigned to this individual provider in the NPPES registry on March 23, 2017.
Where is Nathaniel Forman located?
Nathaniel Forman practices at 1005 Joe Dimaggio Dr, Hollywood, FL 33021. The listed phone number is (954) 265-5324.
What is Nathaniel Forman's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.
Is Nathaniel Forman enrolled in Medicare?
Yes. Nathaniel Forman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Nathaniel Forman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nathaniel Forman reassigns Medicare benefits to Inphynet South Broward LLC (Hollywood, FL). The 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 Nathaniel Forman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nathaniel Forman accept?
Health plans from CareSource and Oscar Health Maintenance Organization of Florida list Nathaniel Forman 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 Nathaniel Forman was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Nathaniel Hamilton Forman, M.D. · NPI 1629509302
Pediatric Emergency Medicine physician in Hollywood, Florida. Individual provider, active in the CMS NPPES registry since March 23, 2017.
## Identity
- **NPI:** 1629509302 (Entity type: Individual)
- **Enumerated:** March 23, 2017
- **Primary specialty:** Pediatrics - Pediatric Emergency Medicine · taxonomy 2080P0204X
- **State license:** ME160857 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1005 JOE DIMAGGIO DR, Hollywood, FL 33021-5487
- **Phone:** (954) 265-5324
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Inphynet South Broward LLC (NPI 1871521880, Hollywood, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** June 29, 2023
- **Other identifiers:** Medicaid 0456143 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1629509302) · Data from the CMS NPPES public registry.