DR. MICHELLE JENNIFER FORMAN MD
NPI 1750563896
Radiology - Diagnostic Radiology in Baltimore, MD
About Dr. Michelle Jennifer Forman Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHELLE JENNIFER FORMAN MD (NPI 1750563896) is an individual diagnostic radiology provider in Baltimore, Maryland, licensed in Maryland (D0070776) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Maryland School Of Medicine (2007).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Michelle Jennifer Forman Md 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 Michelle Forman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Halethorpe, MD 21227
- Reassigned Medicare billing, Maryland, District of Columbia and Virginia enrollments
- Also billed through NPI 1952461816 (District of Columbia), NPI 1225156367 (Virginia)
- 1,253 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BALTIMORE, MD 21201
BALTIMORE, MD 21201
BALTIMORE, MD 21201
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 Michelle Forman's NPI number?
The NPI number for Michelle Forman is 1750563896. It was assigned to this individual provider in the NPPES registry on November 30, 2007.
Where is Michelle Forman located?
Michelle Forman practices at 22 S Greene St, Baltimore, MD 21201. The listed phone number is (410) 328-3477.
What is Michelle Forman's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Michelle Forman enrolled in Medicare?
Yes. Michelle 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 Michelle Forman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Forman reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Halethorpe, MD). 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 Michelle Forman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Michelle Forman was last updated on June 20, 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.
# Dr. Michelle Jennifer Forman, MD · NPI 1750563896
Diagnostic Radiology physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since November 30, 2007.
## Identity
- **NPI:** 1750563896 (Entity type: Individual)
- **Enumerated:** November 30, 2007
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** D0070776 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 22 S GREENE ST, Baltimore, MD 21201-1544
- **Phone:** (410) 328-3477
## 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:** Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (NPI 1417294984, Halethorpe, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Maryland School Of Medicine, class of 2007
## Record status
- **NPPES last updated:** June 20, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1750563896) · Data from the CMS NPPES public registry.