Individual provider Active NPI

Michael Edward Ford, MD

  • Internal Medicine Physician
  • Sleepy Hollow, NY
National Provider Identifier
1760659007
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
257722 Issued in NY
Practice address
358 N Broadway
Sleepy Hollow, NY 10591-2322
Phone
(914) 610-4640
NPI assigned
May 15, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 257722 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

358 N Broadway
Sleepy Hollow, NY 10591-2322

Mailing address

11 Bramley LN
Dobbs Ferry, NY 10522-3202
Phone (347) 306-1073

Other practice location 1

423 E 23rd St
New York, NY 10010-5011
Phone (212) 686-7500

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110808000151 NY Practitioner - Internal Medicine 1759550882 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Select PT, OT and SLP Rehabilitation Ny, PLLCGroup PAC ID 3870986656, 261 clinicians

Practice addresses (Care Compare)

125 Harry Howard Ave
Hudson, NY 12534-1601
Phone (800) 479-7695

220 White Plains Rd
Suite 590
Tarrytown, NY 10591-5837
Phone (914) 372-6788

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
257722NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Winifred Masterson Burke Rehabilitation Hospital Current Accepting new patients
Winifred Masterson Burke Rehabilitation Hospital CurrentSince Jun 29, 2013 Accepting new patients
Weill Medical College of Cornell CurrentSince Jul 4, 2011 Accepting new patients
The Westchester Medical Practice, PC CurrentSince Apr 1, 2019 Accepting new patients
Weill Medical College of Cornell Internal Medicine Current Accepting new patients
Michael E Ford M D PLLC Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients
The Westchester Medical Practice, PC CurrentSince Apr 1, 2019 Accepting new patients
The Winifred Masterson Burke Rehabilitation Hospital CurrentSince Jun 29, 2013 Accepting new patients
Weill Medical College of Cornell University Internal Medicine CurrentSince Jul 4, 2011 Accepting new patients

Locations

1980 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (914) 734-3600

40 Worth St
New York, NY 10013
Phone (646) 619-6400

358 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 610-4640

200 White Plains Rd
Ste 210
Tarrytown, NY 10591
Phone (914) 372-6788

220 White Plains Rd
Ste 590
Tarrytown, NY 10591
Phone (914) 372-6788

785 Mamaroneck Ave
White Plains, NY 10605
Phone (914) 597-2257

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: mford66133@northwell.direct-ci.com
  • Direct secure messaging: mef2005@direct.nyp.org

Organizations & group practices 10

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.

Hospital & facility affiliations 2

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": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1760659007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BRAMLEY LN",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105223202",
            "telephone_number": "347-306-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 N BROADWAY",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105912322",
            "telephone_number": "914-610-4640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "423 E 23rd St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100105011",
            "country_code": "US",
            "telephone_number": "212-686-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORD",
        "first_name": "MICHAEL",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-15",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "257722",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sleepy Hollow, NY

Sources for this page

Verify at the official NPI Registry.