Individual provider Active NPI

Robert Orland Ford, MD

  • Ophthalmology Physician
  • Chehalis, WA
National Provider Identifier
1295842524
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD00017790 Issued in WA
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

Updated by the provider on Nov 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
180012493OtherWARAIL ROAD MEDICARE
180040084OtherWARAIL ROAD MEDICARE
1295842524MedicaidID
1597601MedicaidAK
180044161OtherMTRAIL ROAD MEDICARE
25576356MedicaidNM
1005298MedicaidWA
180040079OtherAKRAIL ROAD MEDICARE
1295842524MedicaidMT
180010033OtherIDRAIL ROAD MEDICARE
180012488OtherWARAIL ROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
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, AK5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20060412000746 WA Practitioner - Ophthalmology 1850298456 Reassigns benefits to 1 organization
I20090513000121 NM Practitioner - Ophthalmology 1850298456 Reassigns benefits to 1 organization
I20100119000727 ID Practitioner - Ophthalmology 1850298456 Reassigns benefits to 1 organization
I20100202000728 MT Practitioner - Ophthalmology 1850298456 Reassigns benefits to 1 organization
I20100908000094 AK Practitioner - Ophthalmology 1850298456 Reassigns benefits to 1 organization

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
Pacific Cataract and Laser Institute of Alaska Inc PCGroup PAC ID 4486549300, 13 clinicians
Pacific Cataract and Laser Institute Inc PCGroup PAC ID 7517864119, 75 clinicians

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

ProcedureNumber of procedures
Cataract surgery746

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00017790WAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Cataract and Laser Institute Inc PC Current Accepting new patients
Pacific Cataract and Laser Institute Inc PC Current Accepting new patients
Pacific Cataract and Laser Institute, Inc., P.C. CurrentSince Oct 1, 1997 Accepting new patients
Pacific Cataract and Laser Institute, Inc., P.C. CurrentSince Aug 1, 1989 Accepting new patients
Pacific Cataract and Laser Institute, Inc., P.C. Current Accepting new patients
Pacific Cataract and Laser Institute of Alaska Inc PC Ophthalmology CurrentSince Oct 1, 1997 Accepting new patients
Pacific Cataract and Laser Institute Inc PC CurrentSince Nov 22, 2009 Accepting new patients
Pacific Cataract and Laser Institute, Inc., P.C. Past Accepting new patients
Pacific Cataract and Laser Institute, Inc., P.C. Past Accepting new patients
Pacific Cataract and Laser Institute Inc PC Past Accepting new patients
Pacific Cataract and Laser Institute, Inc., P.C. Past Accepting new patients
Pacific Cataract and Laser Institute, Inc., P.C. Past Accepting new patients
Pacific Cataract and Laser Institute, Inc., P.C. Past Accepting new patients

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

  • Direct secure messaging: robert.ford.p1@direct.pcli.nextgenshare.com
  • Direct secure messaging: asc.pclichehalis.p1@direct.pcli.nextgenshare.com
  • FHIR API: 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.

View all 15

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

Verify at the official NPI Registry.