Joshua Scott Ingleby, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

12967 Issued in TX

Practice address

3636 Executive Center Dr
Austin, TX 78731-1643

Phone

(512) 371-9555

NPI assigned

Mar 25, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2024 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Pondworks PA

  • Psychiatry Physician
  • Austin, TX
  • NPI 1124139506
  NPD (past)

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1205178571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 EXECUTIVE CENTER DR STE G70",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787311628",
            "telephone_number": "512-687-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 EXECUTIVE CENTER DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787311643",
            "telephone_number": "512-371-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGLEBY",
        "first_name": "JOSHUA",
        "middle_name": "SCOTT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-25",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "8568133-1206",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "12967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Infusion Partners, LLC
• Desire Ingabire
• Ingenia Behavioral Health LLC
• Ammon Carl Ingersoll
• Sallie Elizabeth Ingle, MA LPC
• Celina V Ingram, M.D.
• Kandis Ingram
• Stephen Tyler Ingram, PA
• Thomas Lane Ingram, LPC
• Wayne W Ingram, MD

• Physician Assistant in Austin, TX
• Providers in Austin, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.