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Dr. Heather C Forkey , MD

Pediatrics β€’ Worcester, MA

Active NPI 1942291208 Individual Practitioner Female Practitioner
Practice location in NPPES

55 Lake Ave N
Worcester, MA 016550002

Call 7744437962 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

55 Lake Ave N

Worcester, MA 016550002

Telephone 7744437962
Fax 7744437399
Organization at the Same NPPES Address or Phone
Umass Memorial Medical Center Facility NPI 1679574933

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2005

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Forkey has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Forkey as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Worcester and Massachusetts

115 active clinicians are listed under Pediatrics with a practice address in Worcester, MA (2,628 in Massachusetts).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Worcester

0.9% of these 115 clinicians have the CMS telehealth indicator.

9.6% of these 115 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-07-15
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES MA 219751

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Massachusetts Board of Registration in Medicine.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
110036615A (MA)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20040623001137

Enrollment State Jurisdiction

MA

PECOS Control ID

5395720262

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Dr. Amirtha Chinnadurai , MD

Pediatrics - Pediatric Nephrology

NPI 1629359906

Doctor of Medicine (M.D.)

Dr. Jennifer Fishbein , MD

Pediatrics - Pediatric Nephrology

NPI 1730611260

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Practice Location July 15, 2024

Registered at 55 LAKE AVE N, WORCESTER, MA 016550002 (Tel: 7744437962)

βœ…
NPI Profile Active November 03, 2011

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 03, 2011

Registered at 55 LAKE AVE N, DEPARTMENT OF PEDIATRICS, WORCESTER, MA 016550002 (Tel: 7744422853)

πŸ“
Business Mailing Address (Initial Record) November 03, 2011

Registered at PO BOX 415348, BOSTON, MA 022415348 (Tel: 8002258885)

πŸ‘€
Provider Name / Credentials (Initial Record) November 03, 2011

Recorded as HEATHER FORKEY, M.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 03, 2011

Pediatrics (license number reported to NPPES: MA 219751)

🟒
Initial NPI Registration & Enumeration November 03, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1942291208
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 03, 2005
Last Update: July 15, 2024
Sole Proprietor: No

Other Pediatrics Specialists in Worcester

All Pediatrics Specialists in Worcester

Mailing Address

Po Box 415348

Boston, MA 022415348

Phone: 8002258885

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.