Adria Lynn Ford, D.O.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

5101015991 Issued in MI

Practice address

1000 Medpark Drive
Suite C
Warsaw, IN 46580-3285

Phone

(574) 267-8728

Fax

(574) 269-3470

NPI assigned

May 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Adria Lynn Rappleye Former name

Medicare fee-for-service enrollment

Enrolled in MI

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

General Surgery

Education

Michigan State University College of Osteopathic Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Vein Restoration Mi PLLCGroup PAC ID 5092998294, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: adria.fordmd.p3@direct.cvr.nextgenshare.com

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.

• Center for Vein Restoration Mi PLLC

  • Surgery Physician
  • Portage, MI
  • NPI 1720388267
  Medicare reassignment Care Compare group NPD
• Center for Vein Restoration Mi PLLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Midland, MI
  • NPI 1225906274
  NPD

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347494400000",
    "number": "1861609182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MEDPARK DRIVE",
            "address_2": "SUITE C",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465803285",
            "telephone_number": "574-267-8728",
            "fax_number": "574-269-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MEDPARK DRIVE",
            "address_2": "SUITE C",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465803285",
            "telephone_number": "574-267-8728",
            "fax_number": "574-269-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "ADRIA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2012-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101015991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIA",
            "last_name": "RAPPLEYE",
            "middle_name": "LYNN",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicholas L Finley, MD
• Megan Fisher
• Rachel Fisher
• Vicki L Fisher, BC-HIS
• Megan Flager, PA-C
• Jordan Foreman
• Angela Foresman, MSW, LCSW
• Fort Wayne Orthopaedics, LLC
• Fort Wayne Orthopaedics, LLC
• Forte Home Health Care, Inc

• Surgery Physician in Warsaw, IN
• Providers in Warsaw, IN by specialty
• Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.