Active NPI
Robert Orland Ford, MD
- Ophthalmology Physician
- Chehalis, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD00017790
- Practice address
- 2517 NE Kresky Ave
Chehalis, WA 98532-2409 - Phone
- (360) 748-8632
- Fax
- (360) 748-3869
- NPI assigned
- Aug 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD00017790 | WA | Primary |
Addresses
Primary practice location
2517 NE Kresky Ave
Chehalis, WA 98532-2409
Mailing address
PO Box 1506
Chehalis, WA 98532-0409
Phone (360) 242-3008
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180012493 | Other | WA | RAIL ROAD MEDICARE |
| 180040084 | Other | WA | RAIL ROAD MEDICARE |
| 1295842524 | Medicaid | ID | |
| 1597601 | Medicaid | AK | |
| 180044161 | Other | MT | RAIL ROAD MEDICARE |
| 25576356 | Medicaid | NM | |
| 1005298 | Medicaid | WA | |
| 180040079 | Other | AK | RAIL ROAD MEDICARE |
| 1295842524 | Medicaid | MT | |
| 180010033 | Other | ID | RAIL ROAD MEDICARE |
| 180012488 | Other | WA | RAIL ROAD MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | asc.pclichehalis.p1@direct.pcli.nextgenshare.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, NM, ID, MT, AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Loma Linda University School of Medicine, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 A St
Suite 200
Anchorage, AK 99501-5147
Phone (907) 272-2423
1621 Market Place Dr
Great Falls, MT 59404-3480
Phone (406) 454-2202
2517 NE Kresky Ave
Chehalis, WA 98532-2433
Phone (360) 748-8632
2822 S Vista Ave
Boise, ID 83705-4159
Phone (208) 385-7576
8220 San Pedro Dr NE
Suite 220
Albuquerque, NM 87113-2480
Phone (505) 797-4466
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 746 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00017790 | WA | MD | Ophthalmology Physician |
Practice roles
Locations
1600 A St
Ste 200
Anchorage, AK 99501
Phone (907) 272-2423
2822 S Vista Ave
Boise, ID 83705
Phone (208) 385-7576
3330 4th St
Lewiston, ID 83501
Phone (208) 746-2025
1621 Market Place Dr
Great Falls, MT 59404
Phone (406) 454-2202
8220 San Pedro Dr NE
Ste 220
Albuquerque, NM 87113
Phone (360) 242-4610
2606 116th Ave NE
Ste 100
Bellevue, WA 98004
Phone (425) 462-7664
4330 Mitchell Way
Bellingham, WA 98226
Phone (360) 736-6860
2517 NE Kresky Ave
Chehalis, WA 98532
Phone (360) 748-8632
6695 W Rio Grande Ave
Kennewick, WA 99336
Phone (509) 736-0826
115 New View Ct NE
Olympia, WA 98506
Phone (360) 252-1642
9598 Mickelberry Rd NW
Silverdale, WA 98383
Phone (360) 698-5062
16818 E Desmet Ct
Spokane Valley, WA 99216
Phone (360) 242-3008
2915 S Alder St
Tacoma, WA 98409
Phone (253) 473-0275
2205 NE 129th St
Vancouver, WA 98686
Phone (360) 450-6644
3900 Kern Rd
Yakima, WA 98902
Phone (509) 966-1356
Interoperability endpoints
- robert.ford.p1@direct.pcli.nextgenshare.com
- asc.pclichehalis.p1@direct.pcli.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 15
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.
-
- Ambulatory Surgical Clinic/Center
- Chehalis, WA
- NPI 1114978848
ID, MT
-
- Ambulatory Surgical Clinic/Center
- Anchorage, AK
- NPI 1548213077
Ophthalmology
-
- Ambulatory Surgical Clinic/Center
- Bellevue, WA
- NPI 1306013925
-
- Ambulatory Surgical Clinic/Center
- Albuquerque, NM
- NPI 1194970418
-
- Ambulatory Surgical Clinic/Center
- Chehalis, WA
- NPI 1487821633
-
- Ambulatory Surgical Clinic/Center
- Vancouver, WA
- NPI 1659548329
-
- Ambulatory Surgical Clinic/Center
- Kennewick, WA
- NPI 1619144607
-
- Ambulatory Surgical Clinic/Center
- Spokane Valley, WA
- NPI 1831366517
-
- Ambulatory Surgical Clinic/Center
- Great Falls, MT
- NPI 1912174996
-
- Ambulatory Surgical Clinic/Center
- Bellingham, WA
- NPI 1194047092
-
- Ambulatory Surgical Clinic/Center
- Lacey, WA
- NPI 1215178835
-
- Ambulatory Surgical Clinic/Center
- Tacoma, WA
- NPI 1467629147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605657600000",
"number": "1295842524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1506",
"city": "CHEHALIS",
"state": "WA",
"postal_code": "985320409",
"telephone_number": "360-242-3008",
"fax_number": "360-807-7687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2517 NE KRESKY AVE",
"city": "CHEHALIS",
"state": "WA",
"postal_code": "985322409",
"telephone_number": "360-748-8632",
"fax_number": "360-748-3869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "ROBERT",
"middle_name": "ORLAND",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2020-11-18",
"certification_date": "2020-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WA",
"license": "MD00017790",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "180012493",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "180040084",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1295842524",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1597601",
"state": "AK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "180044161",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "25576356",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1005298",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "180040079",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1295842524",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "180010033",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "180012488",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "asc.pclichehalis.p1@direct.pcli.nextgenshare.com",
"affiliation": "N",
"address_1": "2517 NE Kresky Ave",
"city": "Chehalis",
"state": "WA",
"country_code": "US",
"postal_code": "985322409",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chehalis, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.