Individual provider Active NPI

Chris Ingraham, D.O.

  • Family Medicine Physician
  • Murfreesboro, TN
National Provider Identifier
1720195878
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101015960 Issued in MI
Practice address
1725 Medical Center Pkwy
Ste 230
Murfreesboro, TN 37129-2247
Phone
(615) 225-1990
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101015960 MI Primary

Addresses

Primary practice location

1725 Medical Center Pkwy
Ste 230
Murfreesboro, TN 37129-2247

Mailing address

3208 Landview Dr
Murfreesboro, TN 37128-5692
Phone (810) 407-3504

Other identifiers 1

IdentifierTypeStateIssuer
4639211MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20071215000224 TN Practitioner - Family Practice 6901996818 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesys Family Medicine PCGroup PAC ID 6103916010, 4 clinicians

Practice addresses (Care Compare)

1818 Ward Dr
Murfreesboro, TN 37129-0502
Phone (615) 225-1990

Hospital & facility affiliations

  • Adoration Home Health, LLC Home health agency, Madison, TN, CCN 447581

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101015960MIMDFamily Medicine Physician
1879TNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Urgent Care PLLC Family Medicine CurrentSince Aug 26, 2019 Accepting new patients
Genesys Family Medicine, PC Family Medicine CurrentSince Dec 1, 2007 Accepting new patients
Crossroads Urgent Care PLLC Family Medicine CurrentSince Aug 26, 2019 Accepting new patients

Locations

1725 Medical Center Pkwy
Ste 230
Murfreesboro, TN 37129
Phone (615) 215-1990

1818 Ward Dr
Murfreesboro, TN 37129
Phone (615) 225-1990

1144 Fortress Blvd
Ste K
Murfreesboro, TN 37128
Phone (615) 809-3541

2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900

Interoperability endpoints

  • Direct secure messaging: christopheringraham@gfmpc.allscriptsdirect.net

Organizations & group practices 3

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 1

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1720195878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 LANDVIEW DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371285692",
            "telephone_number": "810-407-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 MEDICAL CENTER PKWY",
            "address_2": "STE 230",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292247",
            "telephone_number": "615-225-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRAHAM",
        "first_name": "CHRIS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101015960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4639211",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.