Jim Mark Ingram, M.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

C7708 Issued in AR

Practice address

18 Corporate Hill Dr
Suite 110
Little Rock, AR 72205-4565

Phone

(501) 224-1156

Fax

(501) 801-5561

NPI assigned

Aug 16, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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

Allergy/Immunology

Education

University of Arkansas College of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Little Rock Allergy and Asthma Clinic PAGroup PAC ID 1658383633, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75.5 of 100Reported as group

Quality

50.65

Improvement activities

40

Cost

84.14

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Little Rock Allergy & Asthma Clinic PA

  • Allergy & Immunology Physician
  • Little Rock, AR
  • NPI 1154360576
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093707176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 CORPORATE HILL DRIVE",
            "address_2": "SUITE 110",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054565",
            "telephone_number": "501-224-1156",
            "fax_number": "501-801-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 CORPORATE HILL DR",
            "address_2": "SUITE 110",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054565",
            "telephone_number": "501-224-1156",
            "fax_number": "501-801-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "JIM",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "AR",
            "license": "C7708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Infusion Physician Services LLC
• Patricia Ann Ingels, RPH
• Allison P Ingram
• Brandon Davis Ingram, MD
• Freddie Earl Ingram Sr.
• Malissa Nicole Ingram
• Rhonda M Ingram, LPC
• Sandra Inmon, PT, DPT
• Inner Circle Autism Network
• Innovative Behavior Analysis Support Systems, LLC

• Allergy & Immunology Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Allergy & Immunology Physician in Arkansas

• 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.

Verify at the official NPI Registry.