Roni W Ford, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

D44738 Issued in MD

Practice address

6 Montgomery Village Ave
Suite 322
Gaithersburg, MD 20879-3546

Phone

(301) 977-2070

Fax

(301) 330-9452

NPI assigned

Mar 15, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in DC

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

Specialty

Dermatology

Education

Georgetown University School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DRS. Ford and Rothman Cosmetic and Clinical Dermatology, LLCGroup PAC ID 0244288009, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• DRS. Ford and Rothman Cosmetic and Clinical Dermatology, LLC

  • Dermatology Physician
  • Gaithersburg, MD
  • NPI 1205900537

  DC

  Medicare reassignment Care Compare group NPD Authorized official
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408406400000",
    "number": "1790754554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MONTGOMERY VILLAGE AVE",
            "address_2": "SUITE 322",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793546",
            "telephone_number": "301-977-2070",
            "fax_number": "301-330-9452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MONTGOMERY VILLAGE AVE",
            "address_2": "SUITE 322",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793546",
            "telephone_number": "301-977-2070",
            "fax_number": "301-330-9452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "RONI",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2014-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D44738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "52970018",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1713476",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004241100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EI",
            "identifier": "522106345",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "52859104",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald Allen Footer, D.P.M.
• Anna Thuy Anh Ford, M.D.
• Ashley D Ford
• Lamar Ford
• Miyah Ford, M.ED, NCC
• Shakira Ford
• Lakisha Monique Foreman
• Forever Fit Physical Therapy & Wellness LLC
• Yuri Forgues
• Elizabeth L. Forkkio, DMD

• Dermatology Physician in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Dermatology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; 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.

Verify at the official NPI Registry.