Individual provider Active NPI

James David Ingram, M.D.

  • Diagnostic Radiology Physician
  • Denver, CO
National Provider Identifier
1316987936
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
30752 Issued in CO
Practice address
1056 E 19TH Ave
B125
Denver, CO 80218-1007
Phone
(303) 761-9190
Fax
(303) 761-6322
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 30752 CO Primary

Addresses

Primary practice location

1056 E 19TH Ave
B125
Denver, CO 80218-1007

Mailing address

PO Box 110429
Aurora, CO 80042-0429
Phone (303) 493-7000

Other identifiers 15

IdentifierTypeStateIssuer
1316987936MedicaidMT
1546838MedicaidIA
343658MedicaidAZ
P00123281OtherCORR MIC MEDICARE
100035760AMedicaidOK
805063700MedicaidID
109589700MedicaidWY
53820860MedicaidNM
01307529MedicaidCO
100156090CMedicaidKS
P00124425OtherCORR RIA MEDICARE
104686211MedicaidMI
P00124424OtherCORR DIA MEDICARE
169996901MedicaidTX
XPY204028MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20040622000485 CO Practitioner - Diagnostic RadiologyPractitioner - Nuclear MedicinePractitioner - Pediatric Medicine 6406831676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Nuclear Medicine, Pediatric Medicine
Education
Medical University of South Carolina College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Physicians IncorporatedGroup PAC ID 3476465667, 3,189 clinicians

Practice addresses (Care Compare)

13123 E 16TH Ave
Aurora, CO 80045-7106
Phone (720) 777-1234

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30752COMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Colorado Current Accepting new patients
University Physicians, Incorporated CurrentSince May 30, 2010 Accepting new patients
University Physicians Incorporated CurrentSince May 30, 2010 Accepting new patients
Medical Imaging of Colorado Radiology Imaging Assc PC Etal PT Diagnostic Radiology Past Accepting new patients
Diagnostic Imaging Associates Pediatric Radiology Past Accepting new patients
Radiology Imaging of Nebraska, LLC Diagnostic Radiology Past Accepting new patients
Radiology Imaging Associates, PC Diagnostic Radiology Past Accepting new patients

Locations

13123 E 16th Ave
Ste B130
Aurora, CO 80045

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

4090 Briargate Pkwy
Colorado Springs, CO 80920
Phone (719) 305-1234

1056 E 19th Ave
#B125
Denver, CO 80218

Dept 1061
Denver, CO 80256

1400 Jackson St
Denver, CO 80206
Phone (303) 388-4461

Interoperability endpoints

  • Direct secure messaging: jingram14578@direct.childrenscolorado.org

Organizations & group practices 7

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.

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    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349827200000",
    "number": "1316987936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110429",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800420429",
            "telephone_number": "303-493-7000",
            "fax_number": "303-493-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 E 19TH AVE",
            "address_2": "B125",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181007",
            "telephone_number": "303-761-9190",
            "fax_number": "303-761-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "JAMES",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2012-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "30752",
            "primary": true
        }
    ],
    "identifiers": [
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            "issuer": "RR MIC MEDICARE",
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        {
            "code": "01",
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            "issuer": "RR RIA MEDICARE",
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        {
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            "issuer": "RR DIA MEDICARE",
            "identifier": "P00124424",
            "state": "CO"
        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "169996901",
            "state": "TX"
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            "code": "05",
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            "issuer": null,
            "identifier": "XPY204028",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.