Individual provider Active NPI

Rebecca Harding Ingram, MD

  • Geriatric Psychiatry Physician
  • Spring Grove, VA
National Provider Identifier
1275861817
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
0101242147 Issued in VA
Practice address
316 Maple Tree LN
Spring Grove, VA 23881-8515
Phone
(757) 866-8688
Fax
(757) 866-8688
NPI assigned
Nov 19, 2009
Last updated
Nov 19, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X 0101242147 VA Primary

Addresses

Primary practice location

316 Maple Tree LN
Spring Grove, VA 23881-8515

Mailing address

316 Maple Tree LN
Spring Grove, VA 23881-8515
Phone (757) 866-8688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20091211000606 VA Practitioner - PsychiatryPractitioner - Hospice/Palliative Care 7012057631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Hospice/Palliative Care
Education
University of Virginia School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

316 Maple Tree LN
Spring Grove, VA 23881-8515
Phone (804) 955-0965

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maple Grove Medical, Inc. CurrentSince Mar 9, 2010 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258588800000",
    "number": "1275861817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 MAPLE TREE LN",
            "city": "SPRING GROVE",
            "state": "VA",
            "postal_code": "238818515",
            "telephone_number": "757-866-8688",
            "fax_number": "757-866-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 MAPLE TREE LN",
            "city": "SPRING GROVE",
            "state": "VA",
            "postal_code": "238818515",
            "telephone_number": "757-866-8688",
            "fax_number": "757-866-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "REBECCA",
        "middle_name": "HARDING",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-19",
        "last_updated": "2009-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "VA",
            "license": "0101242147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Grove, VA

Sources for this page

Verify at the official NPI Registry.