NPIMap

Individual provider Active NPI

Matthew Ford, PA-C

  • Physician Assistant
  • Fort Carson, CO
National Provider Identifier
1801251582
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
Evans Army Community Hospital, 1650 Cochrane Cir B7500
Attn: Butts Army Airfield Medical Clinic, BLDG 9621
Fort Carson, CO 80913
Phone
(719) 526-1910
NPI assigned
Dec 22, 2015
Last updated
Sep 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary
Physician Assistant 363A00000X PA.0008423 CO

Addresses

Primary practice location

Evans Army Community Hospital, 1650 Cochrane Cir B7500
Attn: Butts Army Airfield Medical Clinic, BLDG 9621
Fort Carson, CO 80913

Mailing address

Evans Army Community Hospital, 1650 Cochrane Cir B7500
Fort Carson, CO 80913
Phone (719) 526-1910

Other practice location 1

Avenue B
Bldg 295
Fort Irwin, CA 92310-1910
Phone (760) 380-6628

Other practice location 2

1035 Garden Of The Gods Rd Ste 120
Colorado Springs, CO 80907-3416
Phone (719) 365-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20241002003999 CO Practitioner - Physician Assistant 3870024789 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

1035 Garden of the Gods Rd
Colorado Springs, CO 80907-9427
Phone (719) 329-1000

13445 Voyager Pkwy
Colorado Springs, CO 80921-7648
Phone (719) 219-0333

1400 E Boulder
Colorado Springs, CO 80909-5533
Phone (719) 776-5000

1815 Jet Wing Dr
Colorado Springs, CO 80916-2300
Phone (719) 632-5700

410 Gold Pass HTS
Colorado Springs, CO 80906-3882
Phone (719) 630-6440

4323 Integrity Ctr PT
Colorado Springs, CO 80917-1683
Phone (719) 591-2558

4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.0008423COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC CurrentSince Nov 11, 2024 Accepting new patients
Peak Vista Community Health Centers CurrentSince Jan 1, 2025 Accepting new patients
Peak Vista Community Health Centers CurrentSince Jan 1, 2025 Accepting new patients
Peak Vista Community Health Centers Past Accepting new patients

Locations

1035 Garden of the Gods Rd
Ste 120
Colorado Springs, CO 80907
Phone (719) 329-1000

13445 Voyager Pkwy
Colorado Springs, CO 80921
Phone (719) 219-0333

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

2767 Janitell Rd
Colorado Springs, CO 80906
Phone (719) 365-2888

3205 N Academy Blvd
Ste 130
Colorado Springs, CO 80917
Phone (719) 344-6873

410 Gold Pass Hts
Colorado Springs, CO 80906
Phone (719) 576-3326

4323 Integrity Center Pt
Colorado Springs, CO 80917
Phone (719) 591-2558

11605 Meridian Market Vw
Ste 184
Peyton, CO 80831
Phone (719) 364-9555

Interoperability endpoints

  • Direct secure messaging: matthew.ford.p1@direct.peakvista.nextgenshare.com

Organizations & group practices 5

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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1450742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1801251582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EVANS ARMY COMMUNITY HOSPITAL, 1650 COCHRANE CIR B7500",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "80913",
            "telephone_number": "719-526-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EVANS ARMY COMMUNITY HOSPITAL, 1650 COCHRANE CIR B7500",
            "address_2": "ATTN: BUTTS ARMY AIRFIELD MEDICAL CLINIC, BLDG 9621",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "80913",
            "telephone_number": "719-526-1910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Avenue B",
            "address_2": "Bldg 295",
            "address_purpose": "LOCATION",
            "city": "Fort Irwin",
            "state": "CA",
            "postal_code": "923101910",
            "country_code": "US",
            "telephone_number": "760-380-6628",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1035 Garden Of The Gods Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809073416",
            "country_code": "US",
            "telephone_number": "719-365-3200",
            "fax_number": "719-365-7680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORD",
        "first_name": "MATTHEW",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-22",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0008423",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Carson, CO

Sources for this page

Verify at the official NPI Registry.