Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michelle Jennifer Forman, MD

Individual provider Diagnostic Radiology Physician · NPI 1750563896

Dr. Michelle Jennifer Forman, MD is a Diagnostic Radiology in Baltimore, Maryland. Graduated from University of Maryland School of Medicine in 2007, 19 years ago. Practices with Kaiser Foundation Health Plan of the Mid Atlantic States, Inc, a 1,934-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
19
Trained at
University of Maryland School of Medicine
Licensed in
MD
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

22 S Greene St
Baltimore, MD 21201-1544
Phone: (410) 328-3477
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence D0070776 (MD)

Record details

NPI number1750563896
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 30, 2007
Last updated in NPPESJune 20, 2021
Certification dateJune 20, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc — 1934 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations16 on file with Medicare

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