Individual provider Active NPI

Paul R. Ingraham, M.D.

  • Internal Medicine Physician
  • Hood River, OR
National Provider Identifier
1720068596
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD216510 Issued in OR
Practice address
1108 June St
Hood River, OR 97031-1513
Phone
(541) 387-6125
NPI assigned
Jan 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 17747 AZ
Internal Medicine Physician 207R00000X MD216510 OR Primary

Addresses

Primary practice location

1108 June St
Hood River, OR 97031-1513

Mailing address

PO Box 3390
Portland, OR 97208-3390
Phone (503) 215-6019

Other practice location 1

1355 N Scottsdale Rd Ste 170
Scottsdale, AZ 85257-3590
Phone (800) 233-3264

Other identifiers 1

IdentifierTypeStateIssuer
276718MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051110000215 AZ Practitioner - Internal Medicine 6002834892
I20230929001331 OR Practitioner - Internal Medicine 6002834892 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Health and Services OregonGroup PAC ID 7315856010, shared by 5 NPIs, 80 clinicians

Practice addresses (Care Compare)

1108 June St
Hood River, OR 97031-1513
Phone (541) 387-6125

Hospital & facility affiliations

  • Providence Home Health Home health agency, Portland, OR, CCN 387048
  • Adventist Health Home Care Home health agency, The Dalles, OR, CCN 387041
  • Providence Hospice Hospice, Portland, OR, CCN 381500
  • Providence Hood River Memorial Hospital Hospital, Hood River, OR, CCN 381318
  • Mid-Columbia Medical Center Hospital, The Dalles, OR, CCN 380001
  • Skyline Hospital Hospital, White Salmon, WA, CCN 501315
  • Providence Portland Medical Center Hospital, Portland, OR, CCN 380061

Merit-based Incentive Payment System (MIPS)

Final score
95 of 100Reported as group
Quality
83.34
Promoting interoperability
100
Improvement activities
40
Cost
100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cigna Healthcare of Arizona, Inc CurrentSince Aug 22, 2010 Accepting new patients
Providence Health & Services Oregon CurrentSince Oct 27, 2023 Accepting new patients
Providence Health & Services Oregon CurrentSince Oct 27, 2023 Accepting new patients
Cigna Healthcare of Arizona, Inc. CurrentSince Aug 22, 2010 Accepting new patients
Providence Health & Services Oregon Internal Medicine Current Accepting new patients

Locations

6811 E Superstition Springs Blvd
Mesa, AZ 85209
Phone (480) 641-4000

1355 N Scottsdale Rd
Ste 170
Scottsdale, AZ 85257
Phone (480) 840-0840

8888 E Raintree Dr
Fl 3
Scottsdale, AZ 85260

7287 E Earll Dr
#D
Scottsdale, AZ 85251
Phone (480) 840-0800

13991 W Grand Ave
Ste 105
Surprise, AZ 85374
Phone (623) 455-7800

1920 E Baseline Rd
Tempe, AZ 85283
Phone (480) 345-5000

1108 June St
Hood River, OR 97031
Phone (541) 386-5070

810 12th St
Hood River, OR 97031
Phone (541) 386-3911

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 8

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": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1720068596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3390",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083390",
            "telephone_number": "503-215-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 JUNE ST",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311513",
            "telephone_number": "541-387-6125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1355 N Scottsdale Rd Ste 170",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852573590",
            "country_code": "US",
            "telephone_number": "800-233-3264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INGRAHAM",
        "first_name": "PAUL",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "17747",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD216510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276718",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hood River, OR

Sources for this page

Verify at the official NPI Registry.