Active NPI
Sara Regan Ford, MD
- Pediatric Cardiology Physician
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- MD11479
- Practice address
- 1 Hoppin St
Coro Center Suite 304
Providence, RI 02903-4141 - Phone
- (401) 444-4612
- Fax
- (401) 793-8831
- NPI assigned
- Feb 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | 223230 | MA | |
| Pediatric Cardiology Physician | 2080P0202X | MD11479 | RI | Primary |
Addresses
Primary practice location
1 Hoppin St
Coro Center Suite 304
Providence, RI 02903-4141
Mailing address
593 Eddy St
Hasbro 122
Providence, RI 02903-4923
Phone (401) 444-6484
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SR54274 | Medicaid | RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040930000705 | RI | Practitioner - Cardiovascular Disease (Cardiology) | 8921077462 | Reassigns benefits to 3 organizations |
| I20130712000053 | MA | Practitioner - Cardiovascular Disease (Cardiology) | 8921077462 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Albany Medical College of Union University, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rhode Island Hospital
Practice addresses (Care Compare)
1 Hoppin St
Suite 304
Providence, RI 02903-4141
Phone (401) 444-4612
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newport Hospital | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Newport Hospital | Current | Accepting new patients | |
| Newport Hospital | Current | Accepting new patients | |
| Lifespan Corporation | Current | Accepting new patients | |
| Rhode Island Hospital | Current | Accepting new patients | |
| Affinity Physicians LLC | Current | Accepting new patients | |
| Affinity Physicians LLC. | Current | Accepting new patients | |
| Rhode Island Hospital | Current | Accepting new patients | |
| Kent County Memorial Hospital | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Kent County Memorial Hospital | Current | Accepting new patients | |
| Rhode Island Hospital | Past | Accepting new patients | |
| Rhode Island Hospital | Past | Accepting new patients |
Locations
11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442
100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157
11 Friendship St
Newport, RI 02840
Phone (401) 845-1110
1 Hoppin St
Ste 304
Providence, RI 02903
Phone (401) 444-4612
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
593 Eddy St
Ste 5
Providence, RI 02903
Phone (401) 444-3996
593 Eddy St
#122
Providence, RI 02903
Phone (401) 444-6195
593 Eddy St
Providence, RI 02903
593 Eddy St
#921
Providence, RI 02903
Phone (401) 444-3250
455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000
Interoperability endpoints
- sford16529@brownhealth.medalliesdirect.net
Organizations & group practices 24
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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-
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-
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- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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- NPI 1578817136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202083200000",
"number": "1013989425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "593 EDDY ST",
"address_2": "HASBRO 122",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034923",
"telephone_number": "401-444-6484",
"fax_number": "401-444-6378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HOPPIN ST",
"address_2": "CORO CENTER SUITE 304",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034141",
"telephone_number": "401-444-4612",
"fax_number": "401-793-8831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "SARA",
"middle_name": "REGAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-02",
"last_updated": "2008-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "MA",
"license": "223230",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "RI",
"license": "MD11479",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SR54274",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.