Active NPI
Wesley Ernest Ingram, MD
- Diagnostic Radiology Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 01087094A
- Practice address
- 1701 N Senate Blvd
Indianapolis, IN 46202-1239 - Phone
- (317) 962-6793
- NPI assigned
- Apr 10, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Diagnostic Radiology Physician | 2085R0202X | 01087094A | IN | Primary |
Addresses
Primary practice location
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice location 1
1924 Alcoa Hwy
Knoxville, TN 37920-1511
Phone (865) 305-9340
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wesleyingram@direct.iuhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of South Alabama College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1924 Alcoa Hwy
Knoxville, TN 37920-1511
Phone (865) 305-9661
2065 Granville Dr
Westfield, IN 46074-7969
Phone 8655847376403
Hospital & facility affiliations
- University Health System, Inc
- Physicians Regional Medical Center
- Blount Memorial Hospital
- Leconte Medical Center
- Parkwest Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Association of University Radiologists, PC | Diagnostic Radiology | Current | Accepting new patients |
| University Diagnostics, LLC | Diagnostic Radiology | Current | Accepting new patients |
| University Diagnostics, LLC | Diagnostic Radiology | Current | Accepting new patients |
| University Diagnostics, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Indiana University Radiology Associates, Inc. | Diagnostic Radiology | Current | Accepting new patients |
Locations
5924 Reliable Pkwy
Chicago, IL 60686
1701 Senate Blvd
#C6
Indianapolis, IN 46202
Phone (317) 962-9000
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
11440 Parkside Dr
Ste 204
Knoxville, TN 37934
Phone (865) 675-1300
1924 Alcoa Hwy
Knoxville, TN 37920
Phone (865) 305-9000
1924 Alcoa Hwy
#U107
Knoxville, TN 37920
Phone (865) 305-8685
Interoperability endpoints
- wesleyingram@direct.iuhealth.org
Organizations & group practices 5
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.
-
- Diagnostic Radiology Physician
- Knoxville, TN
- NPI 1619088697
IN
-
- Diagnostic Radiology Physician
- Indianapolis, IN
- NPI 1336192665
-
- Radiology Clinic/Center
- Knoxville, TN
- NPI 1205588308
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Knoxville, TN
- NPI 1417698275
-
- Diagnostic Radiology Physician
- Knoxville, TN
- NPI 1427785047
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sevierville, TN
- NPI 1528052578
-
- General Acute Care Hospital
- Powell, TN
- NPI 1043292899
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1396739165
-
- General Acute Care Hospital
- Maryville, TN
- NPI 1619939071
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1538164090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652918400000",
"number": "1366975955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 N SENATE BLVD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462021239",
"telephone_number": "317-962-6793"
}
],
"practiceLocations": [
{
"address_1": "1924 Alcoa Hwy",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379201511",
"country_code": "US",
"telephone_number": "865-305-9340",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "INGRAM",
"first_name": "WESLEY",
"middle_name": "ERNEST",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-10",
"last_updated": "2022-05-19",
"certification_date": "2022-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "01087094A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "wesleyingram@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1701 N Senate Blvd",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462021239",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.