Individual provider Active NPI

Janis C Ingebrigtsen, MD

  • Family Medicine Physician
  • Terre Haute, IN
National Provider Identifier
1609867357
Registry record updated Oct 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01041582 Issued in IN
Practice address
1530 N 7TH St
Suite 110
Terre Haute, IN 47807-1057
Phone
(812) 238-7878
NPI assigned
Nov 2, 2005
Last updated
Oct 18, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01041582 IN Primary

Addresses

Primary practice location

1530 N 7TH St
Suite 110
Terre Haute, IN 47807-1057

Mailing address

PO Box 2505
Indianapolis, IN 46206-2505
Phone (812) 238-7783

Other identifiers 2

IdentifierTypeStateIssuer
080122269OtherINRR MEDICARE
200124870MedicaidIN

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
I20050914001087 IN Practitioner - Family Practice 6800829433 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Hospital IncGroup PAC ID 8426943614, 90 clinicians

Practice addresses (Care Compare)

1530 N 7TH St
Suite 110
Terre Haute, IN 47807-1057
Phone (812) 238-7878

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01041582INMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union Hospital Inc CurrentSince Jan 1, 2005 Accepting new patients
Union Associated Physicians Clinic LLC Family Medicine CurrentSince Oct 1, 2021 Accepting new patients
Union Hospital, Inc. CurrentSince Jan 1, 2005 Accepting new patients
Union Associated Physicians Clinic, LLC Family Medicine CurrentSince Oct 1, 2021 Accepting new patients

Locations

315 Lankford St
Clay City, IN 47841
Phone (812) 939-2126

777 S Main St
Ste 100
Clinton, IN 47842
Phone (765) 828-1003

819 S 3rd St
Clinton, IN 47842
Phone (765) 822-2464

111 W High St
Rockville, IN 47872
Phone (765) 569-2057

503 Anderson St
Rockville, IN 47872
Phone (317) 832-2464

1513 N 6th St
Terre Haute, IN 47807
Phone (812) 238-7631

1530 N 7th St
Ste 101
Terre Haute, IN 47807
Phone (812) 238-3800

1530 N 7th St
Ste 110
Terre Haute, IN 47807
Phone (812) 238-7878

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

1801 N 6th St
Ste 200
Terre Haute, IN 47804
Phone (812) 238-7301

2133 S State Road 46
Terre Haute, IN 47803
Phone (812) 242-3737

221 S 6th St
Terre Haute, IN 47807
Phone (812) 242-3105

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287360000000",
    "number": "1609867357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2505",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462062505",
            "telephone_number": "812-238-7783",
            "fax_number": "812-238-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 N 7TH ST",
            "address_2": "SUITE 110",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478071057",
            "telephone_number": "812-238-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGEBRIGTSEN",
        "first_name": "JANIS",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2010-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01041582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "080122269",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200124870",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.