Individual provider Active NPI

Stephen Michael Ford, M.D.

  • Specialist
  • Colorado Springs, CO
National Provider Identifier
1063541571
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
34354 Issued in CO
Practice address
1615 Medical Center PT
Colorado Springs, CO 80907-5788
Phone
(719) 579-9131
Fax
(719) 268-1766
NPI assigned
Mar 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X
Specialist 174400000X 34354 CO Primary

Addresses

Primary practice location

1615 Medical Center PT
Colorado Springs, CO 80907-5788

Mailing address

2920 N Cascade Ave
FL 3
Colorado Springs, CO 80907-6262
Phone (877) 632-9292

Other identifiers 7

IdentifierTypeStateIssuer
P00129307OtherCORR MEDICARE PYSICIAN ID
01343540MedicaidCO
200513841002OtherCOROCKY MTN HEALTH PLAN
601877700OtherCODEPT OF LABOR PROVIDER #
200513841SOOOtherCOKAISER PERM PHYSICIAN ID
20051384101OtherCOPACIFICARE PHYSICIAN ID
FOF39070OtherCOANTHEM BCBS PYSICIAN ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040716001045 CO Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 4789663303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
University of Michigan Medical School, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy of Colorado Springs LPGroup PAC ID 3971498197, shared by 2 NPIs, 84 clinicians
Accelerated Recovery SpecialistsGroup PAC ID 3274586458, 9 clinicians

Practice addresses (Care Compare)

5825 Delmonico Dr
Suite 100
Colorado Springs, CO 80919-2243
Phone (719) 257-4240

7150 Campus Dr
Suite 100
Colorado Springs, CO 80920-3178
Phone (719) 636-3333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
34354COMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Accelerated Recovery Specialists Specialist CurrentSince Jul 15, 2020 Accepting new patients

Locations

7150 Campus Dr
Ste 100
Colorado Springs, CO 80920
Phone (719) 636-3333

Interoperability endpoints

  • Direct secure messaging: sford@98deb2d4.micromddirect.com

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1063541571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 N CASCADE AVE",
            "address_2": "FL 3",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076262",
            "telephone_number": "877-632-9292",
            "fax_number": "480-635-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 MEDICAL CENTER PT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075788",
            "telephone_number": "719-579-9131",
            "fax_number": "719-268-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "STEPHEN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "34354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PYSICIAN ID",
            "identifier": "P00129307",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01343540",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROCKY MTN HEALTH PLAN",
            "identifier": "200513841002",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR PROVIDER #",
            "identifier": "601877700",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER PERM PHYSICIAN ID",
            "identifier": "200513841SOO",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE PHYSICIAN ID",
            "identifier": "20051384101",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS PYSICIAN ID",
            "identifier": "FOF39070",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.