Michael Ingram, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4301055552 Issued in MI

Practice address

690 S Trumbull
Bay City, MI 48708

Phone

(989) 922-4900

Fax

(989) 922-4900

NPI assigned

Jul 7, 2006

Last updated

Apr 12, 2021By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI, VI2 enrollments

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 2

Specialty

Psychiatry

Education

Michigan State University College of Human Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

List Psychological Services, PLCGroup PAC ID 6709799323, 28 clinicians

Great Lakes Bay Health CentersGroup PAC ID 2466369046, shared by 30 NPIs, 85 clinicians

Frederiksted Health Care, Inc.Group PAC ID 7911818778, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McLaren Bay Region Hospital, Bay City, MI, CCN 230041

Merit-based Incentive Payment System (MIPS)

Final score

41.32 of 100Reported as group

Quality

20

Improvement activities

0

Cost

84.4

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ingram.michael.001.0220017@mbpa.meditab.direct-ci.com
• Direct secure messaging: ingram.michael.010.0220017@mbpa.meditab.direct-ci.com
• Direct secure messaging: listpsychologicalservices.michaelingram@130916.advancedmd-direct.com
• Direct secure messaging: michael.ingram@direct.medfusion.com
• Direct secure messaging: micheal.ingram.1@27771.direct.athenahealth.com
• Direct secure messaging: micheal.ingram.p1@direct.frederikstedhealthvi.nextgenshare.com

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.

• List Psychological Services, PLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Caro, MI
  • NPI 1336176031

  Psychiatry

  Medicare reassignment Care Compare group NPD
• Great Lakes Bay Health Centers

  • Obstetrics & Gynecology Physician
  • Saginaw, MI
  • NPI 1871684761
  Medicare reassignment NPD
• Memorial Hospital

  dba Memorial Medical Associates

  • General Practice Physician
  • Owosso, MI
  • NPI 1235160532

  Psychiatry

  Medicare reassignment NPD
• Frederiksted Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Frederiksted, VI
  • NPI 1437215134
  Care Compare group NPD
• Great Lakes Bay Health Centers

  dba Great Lakes Bay Health Centers Integrated Care Midland

  • Federally Qualified Health Center (FQHC)
  • Midland, MI
  • NPI 1609609536
  NPD
• List Psychological Services, PLC

  • Clinical Social Worker
  • Sandusky, MI
  • NPI 1174267116

  Psychiatry

  NPD
• List Psychological Services, PLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saginaw, MI
  • NPI 1902856446

  Psychiatry

  NPD
• Memorial Hospital

  dba Memorial Medical Associates

  • General Practice Physician
  • Owosso, MI
  • NPI 1316008006
  NPD
• Memorial Hospital

  dba Memorial Medical Associates

  • Anesthesiology Physician
  • Owosso, MI
  • NPI 1659527737
  NPD
• Child and Family Service of Saginaw County

  • Addiction (Substance Use Disorder) Counselor
  • Saginaw, MI
  • NPI 1124763495
  NPD (past)
• Child and Family Service of Saginaw County

  • Clinical Social Worker
  • Saginaw, MI
  • NPI 1720069602

  Psychiatry

  NPD (past)
• PPPS III

  • Community/Behavioral Health Agency
  • Saginaw, MI
  • NPI 1245395797
  NPD (past)

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

• McLaren Bay Region

  • General Acute Care Hospital
  • Bay City, MI
  • NPI 1528031226
  Care Compare affiliation

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1295767283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 S TRUMBULL",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "48708",
            "telephone_number": "989-922-4900",
            "fax_number": "989-922-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 S TRUMBULL",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "48708",
            "telephone_number": "989-922-4900",
            "fax_number": "989-922-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301055552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.ingram@direct.medfusion.com",
            "affiliation": "N",
            "address_1": "690 S Trumbull",
            "city": "Bay City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "48708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Integrated Kidney Services, PLC
• Integris Medical PLLC
• Irb Medical Equipment, LLC (Hart Medical)
• Courtney Michelle Irmen

• Psychiatry Physician in Bay City, MI
• Providers in Bay City, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.