NPIMap

Individual provider Active NPI

Richard M Ingram, M.D.

  • Hematology & Oncology Physician
  • Winchester, VA
National Provider Identifier
1669416350
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
0101055301 Issued in VA
Practice address
400 Campus Blvd Ste 100
Winchester, VA 22601-6906
Phone
(540) 662-1108
NPI assigned
Jun 15, 2006
Last updated
May 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 0101055301 VA Primary

Addresses

Primary practice location

400 Campus Blvd Ste 100
Winchester, VA 22601-6906

Mailing address

400 Campus Blvd Ste 100
Winchester, VA 22601-6906
Phone (540) 662-1108

Other identifiers 4

IdentifierTypeStateIssuer
276724OtherVABLUE CROSS BLUE SHIELD
0081928000OtherWVWV MEDICAID
45-4759270OtherVATAX ID
005876346MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090610000685 VA Practitioner - HematologyPractitioner - Internal Medicine 2163572223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HematologyAlso: Internal Medicine
Education
State University of Ny Upstate Medical University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shenandoah Oncology PCGroup PAC ID 5698924843, 23 clinicians

Practice addresses (Care Compare)

400 Campus Blvd
Suite 100
Winchester, VA 22601-6906
Phone (540) 662-1108

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shenandoah Oncology, PC Hematology & Oncology CurrentSince Oct 1, 2012 Accepting new patients
Shenandoah Oncology, PC Current Accepting new patients
Virginia Cancer Specialists, P.C. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1870 Amherst St
Ste F
Winchester, VA 22601
Phone (540) 536-0010

400 Campus Blvd
Ste 100
Winchester, VA 22601
Phone (540) 662-1108

Interoperability endpoints

  • Direct secure messaging: richard.ingram@so.ikm.direct-ci.com

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 6

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1669416350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CAMPUS BLVD STE 100",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016906",
            "telephone_number": "540-662-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CAMPUS BLVD STE 100",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016906",
            "telephone_number": "540-662-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "RICHARD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "VA",
            "license": "0101055301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "276724",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV MEDICAID",
            "identifier": "0081928000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "45-4759270",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005876346",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.