Active NPI
Timothy D Ford, MD
- Cardiovascular Disease Physician
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 205553
- Practice address
- 90 Presidential PLZ
5TH Floor
Syracuse, NY 13202-2240 - Phone
- (315) 464-9335
- Fax
- (315) 464-9338
- NPI assigned
- Sep 27, 2005
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 205553 | NY | Primary |
Addresses
Primary practice location
90 Presidential PLZ
5TH Floor
Syracuse, NY 13202-2240
Mailing address
90 Presidential PLZ
5TH Floor
Syracuse, NY 13202-2240
Phone (315) 464-9335
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01742754 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090629000251 | NY | Practitioner - Cardiovascular Disease (Cardiology) | 7012821648 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- State University of New York at Buffalo School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Department of Medicine Medical Serv GRP at Suny HLTH Sci Ctr Syr in
Practice addresses (Care Compare)
510 Towne Dr
Fayetteville, NY 13066-1331
Phone (315) 663-0500
750 E Adams St
Syracuse, NY 13210-2306
Phone (315) 464-4457
Hospital & facility affiliations
- University Hospital S U N Y Health Science Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.56 of 100
- Quality
- 71.97
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.04
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 205553 | NY | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of Medicine Medical Serv GRP at Suny HLTH Sci Ctr Syr in | Cardiovascular Disease | Current | Accepting new patients |
| Department of Medicine Medical Service Group | Current | Accepting new patients | |
| Department of Medicine MSG | Past | Accepting new patients |
Locations
5700 W Genesee St
Ste 128
Camillus, NY 13031
Phone (315) 488-2372
208 Township Blvd
Ste 100
Camillus, NY 13031
Phone (315) 464-5162
110 W 6th St
Oswego, NY 13126
Phone (315) 349-5511
251 Salina Meadows Pkwy
Ste 100
Syracuse, NY 13212
Phone (315) 464-2000
1000 E Genesee St
Ste 300
Syracuse, NY 13210
Phone (315) 471-1044
90 Presidential Plz
Fl 5
Syracuse, NY 13202
Phone (315) 464-9335
736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111
90 Presidential Plz
Ste 5010
Syracuse, NY 13202
Phone (315) 464-9335
750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363
Interoperability endpoints
- tford7076@direct.upstate.edu
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Syracuse, NY
- NPI 1063468239
Cardiovascular Disease, NY
-
- Hematology & Oncology Physician
- Homer, NY
- NPI 1205104262
-
- Internal Medicine Physician
- Syracuse, NY
- NPI 1396765632
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287532800000",
"number": "1508852286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 PRESIDENTIAL PLZ",
"address_2": "5TH FLOOR",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132022240",
"telephone_number": "315-464-9335",
"fax_number": "315-464-9338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 PRESIDENTIAL PLZ",
"address_2": "5TH FLOOR",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132022240",
"telephone_number": "315-464-9335",
"fax_number": "315-464-9338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "TIMOTHY",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-27",
"last_updated": "2010-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "205553",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01742754",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; 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.