Active NPI
Irving Ingraham, MD
- Gastroenterology Physician
- Peabody, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 45686
- Practice address
- 2 Essex Center Drive
Peabody, MA 01960 - Phone
- (978) 532-6111
- Fax
- (978) 532-6123
- NPI assigned
- May 25, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 45686 | MA | Primary |
Addresses
Primary practice location
2 Essex Center Drive
Peabody, MA 01960
Mailing address
PO Box 930
Salem, MA 01970
Phone (978) 825-6581
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3105199 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Tufts University School of Medicine, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Hutchinson Dr
Danvers, MA 01923-3748
Phone (978) 739-6950
2 Corporation Way
Suite 180
Peabody, MA 01960-7996
Phone (978) 532-6111
81 Highland Ave
Salem, MA 01970-2714
Phone (978) 354-2551
Salem Hospital Medical Staff Office
81 Highland Ave Wheelock 6
Salem, MA 01970-2714
Hospital & facility affiliations
- North Shore Medical Center -
- Massachusetts General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45686 | MA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mass General Brigham Medical Group Northern Massachusetts Inc | Current | Accepting new patients | |
| North Shore Medical Center, Inc. | Past | Accepting new patients |
Locations
1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950
2 Blackburn Park
Gloucester, MA 01930
Phone (508) 281-1500
2 Essex Dr
Peabody, MA 01960
Phone (978) 532-6111
2 Corporation Way
Ste 180
Peabody, MA 01960
Phone (781) 248-1766
2 Essex Center Dr
Ste 2
Peabody, MA 01960
Phone (978) 532-6111
Interoperability endpoints
- ingraham.irving.nsmc@direct.partners.masshiway.net
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Salem, MA
- NPI 1588606123
-
- Psychiatric Hospital Unit
- Salem, MA
- NPI 1417972647
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Salem, MA
- NPI 1730121633
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073569760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 930",
"city": "SALEM",
"state": "MA",
"postal_code": "01970",
"telephone_number": "978-825-6581",
"fax_number": "978-825-7070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 ESSEX CENTER DRIVE",
"city": "PEABODY",
"state": "MA",
"postal_code": "01960",
"telephone_number": "978-532-6111",
"fax_number": "978-532-6123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGRAHAM",
"first_name": "IRVING",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MA",
"license": "45686",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3105199",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Peabody, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.