Active NPI
Michele Linda Lee Bailey Ingram, MD
- Pediatrics Physician
- White Plains, NY
National Provider Identifier
1447346408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 196315
- Practice address
- 16 N Broadway
Suite LMG Mayfield Medical Group LLC
White Plains, NY 10601 - Phone
- (914) 686-1848
- Fax
- (914) 397-0001
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 196315 | NY | Primary |
Addresses
Primary practice location
16 N Broadway
Suite LMG Mayfield Medical Group LLC
White Plains, NY 10601
Mailing address
16 North Broadway
Suite LMG
White Plains, NY 10601
Phone (914) 686-1848
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01618253 | Medicaid | NY |
Other names 1
- Michele Linda Lee Bailey
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 196315 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayfield Medical Group LLC | Pediatrics | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- michelebaileymd@hiemail.healtheconnections.org
Organizations & group practices 1
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.
-
- Pediatrics Physician
- White Plains, NY
- NPI 1063508125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447346408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 NORTH BROADWAY",
"address_2": "SUITE LMG",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "10601",
"telephone_number": "914-686-1848",
"fax_number": "914-397-0001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 N BROADWAY",
"address_2": "SUITE LMG MAYFIELD MEDICAL GROUP LLC",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "10601",
"telephone_number": "914-686-1848",
"fax_number": "914-397-0001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY INGRAM",
"first_name": "MICHELE",
"middle_name": "LINDA LEE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "196315",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01618253",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELE",
"last_name": "BAILEY",
"middle_name": "LINDA LEE",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.