Thomas Glenn Ingram, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

28724 Issued in KY

Practice address

1111 Crown Pointe Dr
Elizabethtown, KY 42701-7101

Phone

(800) 545-9031

NPI assigned

Jun 10, 2005

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Stepworks Recovery Centers LLC

  • Rural Health Clinic/Center
  • Elizabethtown, KY
  • NPI 1932744745

  5% Or Greater Direct Ownership Interest, Corporate Officer, W-2 Managing Employee

  CMS ownership

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.

• Stepworks Recovery Centers LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Elizabethtown, KY
  • NPI 1922497130
  Medicare reassignment NPD Authorized official
• Ingram & Ball, PLLC

  • Family Medicine Physician
  • Elizabethtown, KY
  • NPI 1831608009
  NPD (past) Authorized official
• Stepworks of London LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • London, KY
  • NPI 1598159378
  Authorized official Same address or phone
• Stepworks Recovery Centers LLC

  dba Sobertoo

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lexington, KY
  • NPI 1306215470
  Authorized official Same address or phone
• Stepworks Recovery Centers LLC

  • Family Medicine Physician
  • Elizabethtown, KY
  • NPI 1821517160
  Authorized official Same address or phone
• Stepworks Recovery Centers LLC

  • Rural Health Clinic/Center
  • Elizabethtown, KY
  • NPI 1932744745
  NPD
• Ingram & Ball, PLLC

  dba Heartland Primary Care Pharmacy

  • Community/Retail Pharmacy
  • Elizabethtown, KY
  • NPI 1336529262
  NPD (past)
• United Healthcare of Hardin, Inc

  dba Lincoln Trail Behavioral Health System

  • Clinical Social Worker
  • Radcliff, KY
  • NPI 1851500466
  NPD (past)

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1437153194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6209",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427026209",
            "telephone_number": "888-259-0031",
            "fax_number": "859-757-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 CROWN POINTE DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427017101",
            "telephone_number": "800-545-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "THOMAS",
        "middle_name": "GLENN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "28724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64287246",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00101625",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ingram & Ball, PLLC (Heartland Primary Care Pharmacy)
• Ingram & Ball, PLLC (Heartland Primary Care)
• Ingram & Ball, PLLC
• Jordan Ingram, LCADC
• Robdeisha Ingram
• Inman and Baldwin Orthodontics
• Gregory Keith Inman, DMD
• Gary Odell Inmann, DMD
• Inspire RX Pharmacy LLC
• Inspire RX Pharmacy LLC

• Family Medicine Physician in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.