Everett Forman, M.D.
Everett Forman, M.D. is a General Practice Physician in Latham, NY, registered under NPI 1528061967.
Getting there
The practice address on file is 585 TROY SCHENECTADY RD, Latham, NY 12110. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 103928-1 | NY | General Practice Physician primary |
This provider holds licence 103928-1 issued in NY. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - General Practice
- PAC ID
- 4486744562
- Enrollment ID
- I20071212000701
Medicare enrolment is recorded as approved under the provider type Practitioner - General Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What General Practice covers
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. NUCC Health Care Provider Taxonomy, code 208D00000X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1528061967 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | May 31, 2005 |
| Last updated | Jul 8, 2007 |
| Status | Active |
| Sole proprietor | No |
| Credential | M.D. |
| Practice address |
585 TROY SCHENECTADY RD Latham, NY 12110 (518) 785-6004 Fax (518) 785-1702 |
| Mailing address |
47 SWEET RD Ballston Lake, NY 12019 |
| Other identifiers |
10000672
· Other 01148 · Other 000401336001 · Other 49E991 · Other |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 5 | 2 | 8 | 0 | 6 | 1 | 9 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 5 | 4 | 8 | 0 | 6 | 2 | 9 | 3 |
Sum = 63 · next multiple of 10 = 70 · check digit = 7 · actual last digit = 7
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.