Individual provider Active NPI

Ingrid Mason, M.D.

  • Specialist
  • Indianapolis, IN
National Provider Identifier
1457319915
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
IN01031079 Issued in IN
Practice address
1020 E 86TH St
Suite 24a
Indianapolis, IN 46240-1867
Phone
(317) 587-0815
Fax
(317) 574-7994
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X IN01031079 IN Primary

Addresses

Primary practice location

1020 E 86TH St
Suite 24a
Indianapolis, IN 46240-1867

Mailing address

1020 E 86TH St
Suite 24a
Indianapolis, IN 46240-1867
Phone (317) 587-0815

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20060427000118 IN Practitioner - Internal Medicine 2163483827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Indiana University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1020 E 86TH St
24A
Indianapolis, IN 46240-1802
Phone (317) 587-0815

Hospital & facility affiliations

  • Ascension St Vincent Hospital Hospital, Indianapolis, IN, CCN 150084
  • Ascension St Vincent Carmel Hospital, Carmel, IN, CCN 150157
  • Franciscan Health Indianapolis Hospital, Indianapolis, IN, CCN 150162

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
IN01031079INMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Nora Internal Medicine, P.C. Specialist CurrentSince Aug 1, 1999 Accepting new patients

Locations

1020 E 86th St
Ste 24A
Indianapolis, IN 46240
Phone (317) 587-0815

Ownership & related parties

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Ascension St. Vincent Seton Specialty HospitalIndianapolis, IN, CCN 152020 Hospital Corporate Director May 1, 2016
Ascension St. Vincent Stress CenterIndianapolis, IN, CCN 15S084 Hospital Corporate Director Jul 1, 2013

Owned or controlled facilities with NPI records 2

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

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457319915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 E 86TH ST",
            "address_2": "SUITE 24A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401867",
            "telephone_number": "317-587-0815",
            "fax_number": "317-574-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 E 86TH ST",
            "address_2": "SUITE 24A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401867",
            "telephone_number": "317-587-0815",
            "fax_number": "317-574-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "INGRID",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "IN01031079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.