NPIMap

Individual provider Active NPI

Alexander Samuel Ford, DO

  • Family Medicine Physician
  • Albany, NY
National Provider Identifier
1659900413
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
323465-01 Issued in NY
Practice address
305 Washington Ave Ext
Pine West PLZ BLDG 3 Ste 305
Albany, NY 12205-5558
Phone
(518) 749-4679
Fax
(518) 401-9109
NPI assigned
Apr 3, 2020
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 323465-01 NY Primary
Registered Dietitian 133V00000X NY

Addresses

Primary practice location

305 Washington Ave Ext
Pine West PLZ BLDG 3 Ste 305
Albany, NY 12205-5558

Mailing address

305 Washington Ave Ext
Pine West PLZ BLDG 3 Ste 305
Albany, NY 12205-5558
Phone (518) 749-4679

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230814000872 NY Practitioner - Family Practice 7113358060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Physicians PLLCGroup PAC ID 8022904473, 361 clinicians

Practice addresses (Care Compare)

1925 Curry Rd
Schenectady, NY 12303-3939
Phone (518) 356-5377

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
323465-01NYMDFamily Medicine Physician
323465NYMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Physicians, PLLC Family Medicine CurrentSince Sep 5, 2023 Accepting new patients

Locations

6 Wellness Way
Ste 201
Latham, NY 12110
Phone (518) 237-7363

711 Troy Schenectady Rd
Ste 203
Latham, NY 12110
Phone (518) 782-3742

711 Troy Schenectady Rd
Ste 210
Latham, NY 12110

1925 Curry Rd
Schenectady, NY 12303
Phone (518) 356-2525

Interoperability endpoints

  • Direct secure messaging: alexanderford@ccp.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1659900413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 WASHINGTON AVE EXT",
            "address_2": "PINE WEST PLZ BLDG 3 STE 305",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122055558",
            "telephone_number": "518-749-4679",
            "fax_number": "518-401-9109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 WASHINGTON AVE EXT",
            "address_2": "PINE WEST PLZ BLDG 3 STE 305",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122055558",
            "telephone_number": "518-749-4679",
            "fax_number": "518-401-9109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "ALEXANDER",
        "middle_name": "SAMUEL",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-03",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "323465-01",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.