Active NPI
Jeremy N Ford
- Diagnostic Radiology Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 286860
- Practice address
- 55 Fruit St
Boston, MA 02114-2621 - Phone
- (336) 832-7272
- NPI assigned
- Apr 15, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 218456 | NC | |
| Diagnostic Radiology Physician | 2085R0202X | 286860 | MA | Primary |
Addresses
Primary practice location
55 Fruit St
Boston, MA 02114-2621
Mailing address
55 Fruit St
Boston, MA 02114-2621
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, NH, FL, NC, NJ, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1202 Medical Ctr Dr
Wilmington, NC 28401-7307
Phone (910) 341-1540
1304 W Bobo Newsom Hwy
Hartsville, SC 29550-4710
Phone (843) 878-1101
13813 Metro Pkwy
Fort Myers, FL 33912-4343
Phone (239) 936-1343
151 Everett Ave
Chelsea, MA 02150-1812
Phone (617) 884-8300
243 Charles St
Suite 1107
Boston, MA 02114-3002
Phone (617) 273-5699
29 E 29TH St
Bayonne, NJ 07002-4654
Phone (201) 858-5000
325 Broad St
Suite 100
Sumter, SC 29150-4167
Phone (803) 773-5227
335 Revolution Dr
Somerville, MA 02145-1553
Phone (857) 282-7750
385 W Wesmark Blvd
Sumter, SC 29150-1987
Phone (803) 774-8290
55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287
67 Corporate Dr
Suite 300
Portsmouth, NH 03801-2847
Phone (603) 610-8079
700 Medical Park Dr
Hartsville, SC 29550-4765
704 Medical Park Dr
Hartsville, SC 29550-4765
Phone (843) 332-1099
75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500
80 Everett Ave
Chelsea, MA 02150-2339
Phone (617) 887-3500
81 Highland Ave
Salem, MA 01970-2714
Phone (978) 741-1200
Hospital & facility affiliations
- Massachusetts General Hospital
- Brigham and Women'S Hospital
- North Shore Medical Center -
- Wentworth-Douglass Hospital
- Newton-Wellesley Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 218456 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colonial Family Practice, LLC | Internal Medicine | Current | Accepting new patients |
| Wilmington ASC LLC | Current | Accepting new patients | |
| Millennium Physician Group LLC | Internal Medicine | Current | Accepting new patients |
| Massachusetts General Physicians Organization Inc | Internal Medicine | Current | Accepting new patients |
| Millennium Physician Group LLC | Current | Accepting new patients | |
| The General Hospital Corporation | Current | Accepting new patients | |
| Colonial Family Practice, LLC | Internal Medicine | Current | Accepting new patients |
| Wilmington Health PLLC | Current | Accepting new patients | |
| Garden State Healthcare Associates, LLC | Current | Accepting new patients | |
| General Hospital Corp | Current | Accepting new patients | |
| Colonial Family Practice, LLC | Past | Accepting new patients |
Locations
2675 Winkler Ave
Ste 200
Fort Myers, FL 33901
13813 Metro Pkwy
Fort Myers, FL 33912
Phone (239) 936-1343
3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108
19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535
55 Fruit St
Boston, MA 02114
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
1202 Medical Center Dr
Wilmington, NC 28401
Phone (910) 617-6705
5 Alumni Dr
Exeter, NH 03833
Phone (603) 580-6339
67 Corporate Dr
#300
Portsmouth, NH 03801
Phone (603) 516-0092
29 E 29th St
Bayonne, NJ 07002
Phone (201) 585-5000
308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574
325 Broad St
Ste 100
Sumter, SC 29150
674 W Liberty St
Sumter, SC 29150
Phone 80377352276010
325 Broad St
Sumter, SC 29150
Interoperability endpoints
- ford.jeremy.mgh@direct.partners.masshiway.net
- jeremy.ford.p1@direct.wilmingtonhealth.nextgenshare.com
Organizations & group practices 12
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.
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
Internal Medicine, NH
-
- Emergency Medicine Physician
- Bayonne, NJ
- NPI 1700014545
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
Internal Medicine
-
- Multi-Specialty Clinic/Center
- Wilmington, NC
- NPI 1881632339
-
- Internal Medicine Physician
- Hartsville, SC
- NPI 1598995300
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- General Acute Care Hospital
- Boston, MA
- NPI 1508390014
-
- Family Medicine Physician
- Brooksville, FL
- NPI 1073131702
-
- Ambulatory Surgical Clinic/Center
- Wilmington, NC
- NPI 1548456478
-
- Family Medicine Physician
- Sumter, SC
- NPI 1730352857
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1790717650
-
- General Acute Care Hospital
- Newton, MA
- NPI 1992737761
-
- General Acute Care Hospital
- Salem, MA
- NPI 1730121633
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- General Acute Care Hospital
- Dover, NH
- NPI 1033118104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699574400000",
"number": "1992159917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 FRUIT ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 FRUIT ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142621",
"telephone_number": "336-832-7272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "JEREMY",
"middle_name": "N",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-15",
"last_updated": "2023-11-10",
"certification_date": "2023-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "218456",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "286860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; 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.