Theodore Mark Ingis, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

41139 Issued in MA

Practice address

46 Daggett Dr
West Springfield, MA 01089-4638

Phone

(413) 733-2260

NPI assigned

Mar 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Longwood Eye, LLC

  • Ophthalmology Physician
  • West Springfield, MA
  • NPI 1649875964
  Medicare reassignment NPD

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455494400000",
    "number": "1316908288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 RIDDELL ST",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013012025",
            "telephone_number": "413-733-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 DAGGETT DR",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010894638",
            "telephone_number": "413-733-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGIS",
        "first_name": "THEODORE",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2016-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "41139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2089009",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel A Hunter
• Talia B Hunter
• Katelyn Iacolo
• Zabihullah Ibrahimi
• Jacqueline Id-Deen
• Inspira Counseling Center, LLC
• Integriscript, Inc.
• Interim Healthcare of Western Mass., Inc.
• Katrina Irizarry
• Harry Isaac, BS

• Ophthalmology Physician in West Springfield, MA
• Providers in West Springfield, MA by specialty
• Ophthalmology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.