DR. JONATHAN FORMAN M.D. NPI 1861493926

NPI Information

  • NPI: 1861493926
  • Provider Name: DR. JONATHAN FORMAN, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 7711 QUARTERFIELD RD
    SUITE A
    GLEN BURNIE, MD
    ZIP 21061
  • Phone: (410) 761-5600

Map and Directions

Get Directions

NPI Details

DR. Jonathan Forman, M.D. is a family medicine in Glen Burnie, MD. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Jonathan Forman, M.D. NPI is 1861493926. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7711 QUARTERFIELD RD
SUITE A
GLEN BURNIE, MD
ZIP 21061-492
Phone: (410) 761-5600
Fax: (410) 761-5734

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Hemoglobin a1c level (HCPCS:83036)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
  • Urine microalbumin (protein) level (HCPCS:82043)
  • Creatinine level to test for kidney function or muscle injury (HCPCS:82570)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Automated urinalysis test (HCPCS:81003)
  • Thyroxine (thyroid chemical), free (HCPCS:84439)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Vitamin d-3 level (HCPCS:82306)
  • Liver function blood test panel (HCPCS:80076)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Prostate cancer screening; prostate specific antigen test (psa) (HCPCS:G0103)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Blood test, clotting time (HCPCS:85610)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Cyanocobalamin (vitamin b-12) level (HCPCS:82607)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
  • Transitional care management services for problem of moderate complexity (HCPCS:99495)
  • Iron level (HCPCS:83540)
  • Ferritin (blood protein) level (HCPCS:82728)
  • Iron binding capacity (HCPCS:83550)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
  • Uric acid level, blood (HCPCS:84550)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85027)
  • Urinalysis, manual test (HCPCS:81002)
  • Analysis for antibody borrelia burgdorferi (lyme disease bacteria) (HCPCS:86618)
  • Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r (HCPCS:U0003)
  • Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment (HCPCS:G0402)
  • Red blood cell sedimentation rate, to detect inflammation, non-automated (HCPCS:85651)
  • Folic acid level, serum (HCPCS:82746)

The enumeration date for this NPI number is 8/10/2005 and was last updated on 1/24/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineD0023811MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11275295OTHERMARYLANDCIGNA PIN
28162106OTHERMARYLANDMAMSI PRIMARY CARE
380089724OTHERMARYLANDRR MEDICARE
4350121-03OTHERMARYLANDCAREFIRST MD RENDERING
5P12535OTHERMARYLANDCAREFIRST MD POS
6D71520MEDICARE UPIN
77605-0008OTHERMARYLANDCAREFIRST BLUECHOICE
84304227OTHERMARYLANDAETNA FEE FOR SERVICE
9226L359SMEDICARE PINMARYLAND
10015650OTHERMARYLANDJHHC PROVIDER NUMBER
11766371400MEDICAIDMARYLAND
120696514OTHERMARYLANDAETNA CAPITATED
132162106OTHERMARYLANDMAMSI SPECIALIST

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.