Organization Active NPI

Ford Medical Associates PA

  • Clinic/Center
  • Lanham, MD
National Provider Identifier
1659403087
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
FORD MEDICAL ASSOCIATES PA
Practice address
7404 Executive PL Ste 501
Lanham, MD 20706-6238
Phone
(301) 220-0300
Fax
(301) 474-8857
NPI assigned
Mar 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Kevin M. Ford, M.D.NPI 1275608184
Title
Physician
Phone
(301) 220-0300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MD Primary

Addresses

Primary practice location

7404 Executive PL Ste 501
Lanham, MD 20706-6238

Mailing address

7404 Executive PL Ste 501
Lanham, MD 20706-6238
Phone (301) 220-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080421000309 DC Part B Supplier - Clinic/Group Practice 3173608254 Receives reassigned benefits from 2 practitioners
Practice locations: Lanham, MD

National Provider Directory

National Provider Directory

Locations

7404 Executive Pl
Ste 501
Seabrook, MD 20706
Phone (301) 220-0300

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1659403087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7404 EXECUTIVE PL STE 501",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207066238",
            "telephone_number": "301-220-0300",
            "fax_number": "301-474-8857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7404 EXECUTIVE PL STE 501",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207066238",
            "telephone_number": "301-220-0300",
            "fax_number": "301-474-8857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORD MEDICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "301-220-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.