Active NPI
Ingeborg E Kirch, MD
- Ophthalmology Physician
- Saginaw, MI
National Provider Identifier
1699781443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 4301113672
- Practice address
- 5161 Cardinal Park Dr
Saginaw, MI 48604-9435 - Phone
- (989) 797-2400
- Fax
- (989) 249-1035
- NPI assigned
- Aug 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 37088 | AZ | |
| Ophthalmology Physician | 207W00000X | 4301113672 | MI | Primary |
Addresses
Primary practice location
5161 Cardinal Park Dr
Saginaw, MI 48604-9435
Mailing address
PO Box 5649
Saginaw, MI 48603-0649
Phone (989) 797-2400
Other practice location 1
5410 N Scottsdale Rd
Suite A400
Paradise Valley, AZ 85253-5927
Phone (480) 278-8980
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 042472266 | Other | TRICARE CHAMPUS | |
| 7241458 | Other | AETNA US HEALTHCARE | |
| 69793 | Other | HEALTHY START | |
| 9317749 | Other | CIGNA HEALTH PLAN | |
| J28266 | Other | BLUE CROSS | |
| 042472266 | Other | THREE RIVERS | |
| 0801554 | Other | EVERCARE | |
| 784039 | Other | MVP HEALTH CARE | |
| 2094514 | Other | FIRST HEALTH | |
| 2098466 | Other | MEDICAID WELFARE | |
| 042472226 | Other | PRIVATE HEALTHCARE SYSTEM | |
| 2098466 | Medicaid | MA | |
| 90546 | Other | FALLON COMM HEALTH PLAN | |
| 042472266 | Other | HEALTHCARE VALUE MGMNT | |
| AA15528 | Other | HARVARD PILGRIM HLTHCARE | |
| 042472266 | Other | ONE HEALTH PLAN | |
| 69793 | Other | CHILDRENS MED SEC PLAN | |
| A37828 | Other | MEDICARE B |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 221469 | MA | MD | Clinical Social Worker |
| 37088 | AZ | MD | Ophthalmology Physician |
| 4301113672 | MI | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliant Medical Group, Inc | Family Medicine | Past | Accepting new patients |
| Reliant Medical Group, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Worcester, MA
- NPI 1295827962
-
- Family Medicine Physician
- Worcester, MA
- NPI 1720017528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1699781443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5649",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486030649",
"telephone_number": "989-797-2400",
"fax_number": "989-249-1035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5161 CARDINAL PARK DR",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486049435",
"telephone_number": "989-797-2400",
"fax_number": "989-249-1035"
}
],
"practiceLocations": [
{
"address_1": "5410 N Scottsdale Rd",
"address_2": "Suite A400",
"address_purpose": "LOCATION",
"city": "Paradise Valley",
"state": "AZ",
"postal_code": "852535927",
"country_code": "US",
"telephone_number": "480-278-8980",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIRCH",
"first_name": "INGEBORG",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "AZ",
"license": "37088",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MI",
"license": "4301113672",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE CHAMPUS",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "7241458",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHY START",
"identifier": "69793",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTH PLAN",
"identifier": "9317749",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "J28266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THREE RIVERS",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "0801554",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP HEALTH CARE",
"identifier": "784039",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "2094514",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID WELFARE",
"identifier": "2098466",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE HEALTHCARE SYSTEM",
"identifier": "042472226",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2098466",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON COMM HEALTH PLAN",
"identifier": "90546",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHCARE VALUE MGMNT",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HLTHCARE",
"identifier": "AA15528",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ONE HEALTH PLAN",
"identifier": "042472266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHILDRENS MED SEC PLAN",
"identifier": "69793",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE B",
"identifier": "A37828",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.