Individual provider Active NPI

Cody R Ingram, DPM, MPH

  • Foot & Ankle Surgery Podiatrist
  • Northville, MI
National Provider Identifier
1154828689
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901400352 Issued in MI
Practice address
42925 7 Mile Rd
Northville, MI 48167-2277
Phone
(248) 349-3900
NPI assigned
Apr 11, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 5901400352 MI Primary

Addresses

Primary practice location

42925 7 Mile Rd
Northville, MI 48167-2277

Mailing address

42925 7 Mile Rd
Northville, MI 48167-2277
Phone (248) 349-3900

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210728003011 MI Practitioner - Podiatry 4486901626 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anthony V Benenati DPM PCGroup PAC ID 8820021975, 4 clinicians
Matthew D Andrews DPM PCGroup PAC ID 9739415605, 14 clinicians

Practice addresses (Care Compare)

11800 E 12 Mile Rd
St John Macomb Oakland Hospital
Warren, MI 48093-3472
Phone (586) 573-5000

1221 S Ortonville Rd BLDG B
Ortonville Foot Ankle and Wound Clinic
Ortonville, MI 48462-8676
Phone (248) 627-5700

27593 Harper Ave
Saint Clair Shores, MI 48081-1923

Hospital & facility affiliations

  • Henry Ford Health Warren Hospital Hospital, Warren, MI, CCN 230195
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue156
Removal of nail tissue11
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony V Benenati DPM PC Foot & Ankle Surgery CurrentSince Oct 3, 2025 Accepting new patients
Matthew D Andrews DPM PC Foot & Ankle Surgery CurrentSince Dec 1, 2023 Accepting new patients
Northville Family Foot Specialists PLLC Foot & Ankle Surgery CurrentSince Nov 14, 2022 Accepting new patients
Shores Podiatry Associates, P.C. Foot & Ankle Surgery CurrentSince Jul 26, 2021 Accepting new patients
Jack Janigian DPM PC PastSince Nov 14, 2022 Accepting new patients

Locations

15959 Hall Rd
Ste 109
Macomb, MI 48044
Phone (586) 772-3500

46591 Romeo Plank Rd
Ste 104
Macomb, MI 48044
Phone (586) 416-3668

42925 7 Mile Rd
Northville, MI 48167
Phone (248) 349-3900

1221 S Ortonville Rd
Ortonville, MI 48462
Phone (248) 627-4978

1221 S Ortonville Rd
Bldg B
Ortonville, MI 48462
Phone (248) 627-5700

20905 E 12 Mile Rd
Ste 100
Roseville, MI 48066
Phone (586) 772-3500

27593 Harper Ave
St Clr Shores, MI 48081
Phone (586) 779-6140

1800 W Big Beaver Rd
Ste 150
Troy, MI 48084
Phone (248) 649-2323

26440 Hoover Rd
Ste B
Warren, MI 48089
Phone (586) 756-3338

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1154828689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42925 7 MILE RD",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481672277",
            "telephone_number": "248-349-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42925 7 MILE RD",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481672277",
            "telephone_number": "248-349-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "CODY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DPM, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-11",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901400352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northville, MI

Sources for this page

Verify at the official NPI Registry.