NPIMap

Individual provider Active NPI

Donna A. Ingram, M.D.

  • Cardiovascular Disease Physician
  • New York, NY
National Provider Identifier
1689688376
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
189818 Issued in NY
Practice address
177 East 87TH Street
Suite 507
New York, NY 10128
Phone
(212) 828-3200
Fax
(212) 828-3240
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 189818 NY Primary

Addresses

Primary practice location

177 East 87TH Street
Suite 507
New York, NY 10128

Mailing address

177 East 87TH Street
Suite 507
New York, NY 10128
Phone (212) 828-3200

Other identifiers 8

IdentifierTypeStateIssuer
6744523-007OtherCIGNA
4675205OtherAETNA PPR
P2480126OtherOXFORD
16978POtherHIP
1390967OtherUNITED HEALTHCARE
2355798OtherAETNA HMO
33J332OtherEMPIRE BC/BS
3C0361OtherHEALTHNET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040811000493 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5092787903 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
New York Medical College, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Icahn School of Medicine at Mount SinaiGroup PAC ID 2264691070, 2,809 clinicians
Lexington Medical Group LLCGroup PAC ID 2163313685, 2 clinicians

Practice addresses (Care Compare)

1 Gustave L Levy PL
New York, NY 10029-6504
Phone (212) 731-7822

117 E 65TH St
New York, NY 10065-7006
Phone (845) 362-8400

177 E 87TH St
New York, NY 10128-2226
Phone (212) 744-2345

Hospital & facility affiliations

  • Mount Sinai Hospital Hospital, New York, NY, CCN 330024

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Amir Reza Radjabi Medical PLLC Current Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Feb 1, 2020 Accepting new patients
Icahn School of Medicine at Mount Sinai Cardiovascular Disease CurrentSince Feb 1, 2020 Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients
Boro Medical, P.C. Cardiovascular Disease Past Accepting new patients

Locations

147 E 26th St
New York, NY 10010
Phone (212) 427-8761

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

177 E 87th St
Ste 507
New York, NY 10128
Phone (212) 828-3200

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: donnaingram@msmh.allscriptsdirect.net

Organizations & group practices 6

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 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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1689688376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 EAST 87TH STREET",
            "address_2": "SUITE 507",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10128",
            "telephone_number": "212-828-3200",
            "fax_number": "212-828-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 EAST 87TH STREET",
            "address_2": "SUITE 507",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10128",
            "telephone_number": "212-828-3200",
            "fax_number": "212-828-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "DONNA",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "189818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6744523-007",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPR",
            "identifier": "4675205",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2480126",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "16978P",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1390967",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2355798",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS",
            "identifier": "33J332",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "3C0361",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.