Active NPI
James David Ingram, M.D.
- Diagnostic Radiology Physician
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 30752
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316987936 | Medicaid | MT | |
| 1546838 | Medicaid | IA | |
| 343658 | Medicaid | AZ | |
| P00123281 | Other | CO | RR MIC MEDICARE |
| 100035760A | Medicaid | OK | |
| 805063700 | Medicaid | ID | |
| 109589700 | Medicaid | WY | |
| 53820860 | Medicaid | NM | |
| 01307529 | Medicaid | CO | |
| 100156090C | Medicaid | KS | |
| P00124425 | Other | CO | RR RIA MEDICARE |
| 104686211 | Medicaid | MI | |
| P00124424 | Other | CO | RR DIA MEDICARE |
| 169996901 | Medicaid | TX | |
| XPY204028 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Medical University of South Carolina College of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 30752 | CO | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital Colorado | Current | Accepting new patients | |
| University Physicians, Incorporated | Current | Accepting new patients | |
| University Physicians Incorporated | Current | 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
- 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.
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-
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Pediatric Radiology
-
- Diagnostic Radiology Physician
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-
- Diagnostic Radiology Physician
- Englewood, CO
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-
- Diagnostic Radiology Physician
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1316987936",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1546838",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "343658",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MIC MEDICARE",
"identifier": "P00123281",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100035760A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "805063700",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "109589700",
"state": "WY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "53820860",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01307529",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100156090C",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR RIA MEDICARE",
"identifier": "P00124425",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104686211",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR DIA MEDICARE",
"identifier": "P00124424",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "169996901",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "XPY204028",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; 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.