Individual provider Active NPI

David C. Ingram Jr., D.O.

  • Infectious Disease Physician
  • Hershey, PA
National Provider Identifier
1659791804
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
OS021315 Issued in PA
Practice address
500 University Dr
Hershey, PA 17033-2360
Phone
(800) 243-1455
Fax
(717) 530-0882
NPI assigned
Apr 25, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 02005075A IN
Infectious Disease Physician 207RI0200X 02005075A IN
Infectious Disease Physician 207RI0200X OS021315 PA Primary

Addresses

Primary practice location

500 University Dr
Hershey, PA 17033-2360

Mailing address

PO Box 858
Ca410
Hershey, PA 17033-0858
Phone (800) 243-1455

Other practice location 1

845 Fishburn Rd
Hershey, PA 17033-2015
Phone (800) 243-1455

Other practice location 2

1150 Cocoa Ave
Hershey, PA 17033-1712
Phone (800) 243-1455

Other practice location 3

30 Hope Dr Ste 2400
Hershey, PA 17033-2036
Phone (800) 243-1455

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dingram@direct.psu.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20210621000292 PA Practitioner - Infectious Disease 3476778663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Arizona College of Osteopathic Medicine Mid Western University, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

500 Universidy Dr
Hershey, PA 17033-2360
Phone (717) 531-8202

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
56.69
Promoting interoperability
100
Improvement activities
40
Cost
74.52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02005075AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
The Milton S Hershey Medical Center Physician Group CurrentSince Jun 10, 2021 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Infectious Disease CurrentSince Jun 10, 2021 Accepting new patients
Major Hospital Past Accepting new patients
The Milton S. Hershey Medical Center Physicians Group Past Accepting new patients

Locations

845 Fishburn Rd
Hershey, PA 17033
Phone (717) 531-8181

1150 Cocoa Ave
Hershey, PA 17033
Phone (717) 531-6015

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

30 Hope Dr
Ste 2400
Hershey, PA 17033
Phone (717) 531-5638

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

500 University Dr
#410
Hershey, PA 17033
Phone (717) 531-1159

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.

Hospital & facility affiliations 7

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": "1398384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1659791804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 858",
            "address_2": "CA410",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170330858",
            "telephone_number": "800-243-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY DR",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332360",
            "telephone_number": "800-243-1455",
            "fax_number": "717-530-0882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "845 Fishburn Rd",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "170332015",
            "country_code": "US",
            "telephone_number": "800-243-1455",
            "fax_number": "717-531-0882",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1150 Cocoa Ave",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "170331712",
            "country_code": "US",
            "telephone_number": "800-243-1455",
            "fax_number": "717-531-0882",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Hope Dr Ste 2400",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "170332036",
            "country_code": "US",
            "telephone_number": "800-243-1455",
            "fax_number": "717-531-0882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "DAVID",
        "middle_name": "C.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-25",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "02005075A",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IN",
            "license": "02005075A",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PA",
            "license": "OS021315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dingram@direct.psu.edu",
            "affiliation": "N",
            "endpointDescription": "direct email",
            "address_1": "500 University Dr",
            "city": "Hershey",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170332360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hershey, PA

Sources for this page

Verify at the official NPI Registry.