Individual provider Active NPI

Evan Miles Ingram

  • Pediatrics Physician
  • Columbus, OH
National Provider Identifier
1245869429
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35147341 Issued in OH
Practice address
700 Childrens Dr
Columbus, OH 43205-2664
Phone
(614) 722-6200
NPI assigned
Apr 8, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35147341 OH Primary
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X 35147341 OH

Addresses

Primary practice location

700 Childrens Dr
Columbus, OH 43205-2664

Mailing address

700 Childrens Dr
Columbus, OH 43205-2664

Other practice location 1

7901 Diley Rd
Canal Winchester, OH 43110-9612
Phone (614) 355-9050

Other practice location 2

1125 E Main St
Columbus, OH 43205-1931
Phone (614) 722-6200

Other practice location 3

1777 E Dublin Granville Rd
Columbus, OH 43229-3502
Phone (614) 722-6200

Other practice location 4

5070 N High St
Columbus, OH 43214-1526
Phone (614) 722-6200

Other practice location 5

433 N Cleveland Ave
Westerville, OH 43082-8095
Phone (614) 355-8300

Other practice location 6

100 Colemans Crossing Blvd
Marysville, OH 43040-7080
Phone (937) 578-7600

Other practice location 7

1405 S High St
Columbus, OH 43207-1043
Phone (614) 722-6200

Other practice location 8

4560 Morse Centre Rd
Columbus, OH 43229-6602
Phone (614) 722-6200

Other practice location 9

4363 All Seasons Dr
Hilliard, OH 43026-2050
Phone (614) 355-5900

Other practice location 10

561 S Yearling Rd
Columbus, OH 43213-2894
Phone (614) 722-6200

Other practice location 11

441 Industrial Mile Rd
Columbus, OH 43228-2458
Phone (614) 722-6200

Other practice location 12

6435 E Broad St
Columbus, OH 43213-1507
Phone (614) 355-8100

Other practice location 13

1390 Cleveland Ave
Columbus, OH 43211-2767
Phone (614) 722-6200

Other practice location 14

3553 Cleveland Ave
Columbus, OH 43224-2909
Phone (614) 722-6200

Other practice location 15

380 Butterfly Gardens Dr
Columbus, OH 43215-7508
Phone (614) 722-6200

Other practice location 16

2599 S Hamilton Rd
Columbus, OH 43232-4964
Phone (614) 722-6200

Other practice location 17

2857 W Broad St
Columbus, OH 43204-2643
Phone (614) 722-6200

Other practice location 18

4766 W Broad St
Columbus, OH 43228-1613
Phone (614) 722-6200

Other practice location 19

7450 Hospital Dr
Dublin, OH 43016-9642
Phone (614) 355-7000

Other practice location 20

433 N Cleveland Ave
Westerville, OH 43082-8095
Phone (614) 722-6200

Other identifiers 1

IdentifierTypeStateIssuer
0407725MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20230510001833 OH Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 8325460199 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35147341OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nationwide Children'S Hospital CurrentSince Sep 25, 2024 Accepting new patients
Pediatric Academic Association, Inc. Pediatrics CurrentSince Jul 1, 2023 Accepting new patients
Nationwide Children'S Hospital Pediatrics CurrentSince Sep 25, 2024 Accepting new patients
The Cleveland Clinic Foundation CurrentSince May 1, 2025 Accepting new patients
Nationwide Children'S Hospital Past Accepting new patients

Locations (25 of 26)

Dept 781629
Detroit, MI 48278

7901 Diley Rd
Canal Winchester, OH 43110
Phone (614) 355-9050

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

Dept L289
Columbus, OH 43260

6435 E Broad St
Columbus, OH 43213
Phone (614) 355-8100

1390 Cleveland Ave
Columbus, OH 43211
Phone (614) 355-9306

1125 E Main St
Columbus, OH 43205
Phone (614) 355-9200

5070 N High St
Columbus, OH 43214
Phone (614) 355-9500

441 Industrial Mile Rd
Columbus, OH 43228
Phone (614) 355-9700

4766 W Broad St
Columbus, OH 43228
Phone (614) 851-7337

3553 Cleveland Ave
Columbus, OH 43224
Phone 6147222000 ext. 2620

4560 Morse Centre Rd
Columbus, OH 43229
Phone (614) 355-9400

2857 W Broad St
Columbus, OH 43204
Phone (614) 355-9900

700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411

1777 E Dublin Granville Rd
Columbus, OH 43229
Phone (614) 355-9700

380 Butterfly Gardens Dr
Columbus, OH 43215
Phone (614) 355-0569

2599 S Hamilton Rd
Columbus, OH 43232
Phone (614) 355-9600

1405 S High St
Columbus, OH 43207
Phone (614) 293-3330

1 Childrens Plz
Dayton, OH 45404
Phone (937) 641-3600

7450 Hospital Dr
Dublin, OH 43016
Phone (614) 222-8000

4363 All Seasons Dr
Hilliard, OH 43026
Phone (614) 355-5900

100 Colemans Crossing Blvd
Marysville, OH 43040
Phone (937) 578-7600

6801 Mayfield Rd
Mayfield Hts, OH 44124
Phone (440) 312-4515

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

433 N Cleveland Ave
Westerville, OH 43082
Phone (614) 355-8300

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1245869429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CHILDRENS DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CHILDRENS DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052664",
            "telephone_number": "614-722-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7901 Diley Rd",
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            "city": "Canal Winchester",
            "state": "OH",
            "postal_code": "431109612",
            "country_code": "US",
            "telephone_number": "614-355-9050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1125 E Main St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432051931",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1777 E Dublin Granville Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432293502",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5070 N High St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432141526",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "433 N Cleveland Ave",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430828095",
            "country_code": "US",
            "telephone_number": "614-355-8300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Colemans Crossing Blvd",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "OH",
            "postal_code": "430407080",
            "country_code": "US",
            "telephone_number": "937-578-7600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1405 S High St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432071043",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4560 Morse Centre Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432296602",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4363 All Seasons Dr",
            "address_purpose": "LOCATION",
            "city": "Hilliard",
            "state": "OH",
            "postal_code": "430262050",
            "country_code": "US",
            "telephone_number": "614-355-5900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "561 S Yearling Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432132894",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "441 Industrial Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432282458",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6435 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432131507",
            "country_code": "US",
            "telephone_number": "614-355-8100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1390 Cleveland Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432112767",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3553 Cleveland Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432242909",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "380 Butterfly Gardens Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432157508",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2599 S Hamilton Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432324964",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2857 W Broad St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432042643",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4766 W Broad St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432281613",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7450 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430169642",
            "country_code": "US",
            "telephone_number": "614-355-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "433 N Cleveland Ave",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430828095",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "EVAN",
        "middle_name": "MILES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-08",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35147341",
            "primary": true
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "OH",
            "license": "35147341",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0407725",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.