Maxine Bonnie Ingham, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

8528 Issued in NV

Practice address

920 W Owens Ave Ste B
Las Vegas, NV 89106-2516

Phone

(702) 846-6622

Fax

(702) 685-9014

NPI assigned

Aug 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 8

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Internal MedicineAlso: Addiction Medicine

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: maxineingham.muscommunitymedicalclinic@162736.advancedmd-direct.com
• Direct secure messaging: maxine.ingham@202362935902212.direct.elationemr.com

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.

• Millennium Healthcare LLC

  • General Practice Physician
  • Las Vegas, NV
  • NPI 1730867193
  Medicare reassignment NPD
• Mus Community Medical Clinic

  • Primary Care Clinic/Center
  • North Las Vegas, NV
  • NPI 1487454690
  Medicare reassignment NPD
• CTD Network LLC

  • Multi-Specialty Clinic/Center
  • Plant City, FL
  • NPI 1851039762

  NV

  Medicare reassignment NPD
• Premium Healthcare LLC

  • Wound Care Registered Nurse
  • Vienna, VA
  • NPI 1982379590

  NV

  Medicare reassignment NPD
• GLC Wellness Center LLC

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1225622889
  NPD
• La Laser Center, PC, a Professional Medical Corporation

  • Multi-Specialty Clinic/Center
  • San Clemente, CA
  • NPI 1306982855
  NPD
• Inpatient Consultants of Nevada, Inc. a Medical Corporation

  • Hospitalist Physician
  • Las Vegas, NV
  • NPI 1821041070

  Internal Medicine

  NPD (past)
• Iyad Houshan, M.D. Professional Corporation

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1467514729
  NPD (past)
• Primary Specialties Medical Group, Inc.

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1588698765

  Family Medicine

  NPD (past)
• Stuart Engel MD Professional Corporation

  • Surgery Physician
  • Las Vegas, NV
  • NPI 1477741163
  NPD (past)
• Apogee Medical Group Idaho PC

  • Internal Medicine Physician
  • Scottsdale, AZ
  • NPI 1518086651

  Family Medicine

  NPD (past)
• La Laser Center PC, a Professional Medical Corporation

  • Non-Pharmacy Dispensing Site
  • Turlock, CA
  • NPI 1356974059
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1730294455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 W OWENS AVE STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891062516",
            "telephone_number": "702-864-6622",
            "fax_number": "702-685-9014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 W OWENS AVE STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891062516",
            "telephone_number": "702-846-6622",
            "fax_number": "702-685-9014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1815 Quarley Pl",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890143873",
            "country_code": "US",
            "telephone_number": "702-381-3889",
            "fax_number": "725-910-0967",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2940 S Jones Blvd",
            "address_2": "Suite e",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891465636",
            "country_code": "US",
            "telephone_number": "702-227-6947",
            "fax_number": "702-247-4319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INGHAM",
        "first_name": "MAXINE",
        "middle_name": "BONNIE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "8528",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "CA",
            "license": "C42144",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "NV",
            "license": "8528",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "ID",
            "license": "M-10233",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NV",
            "license": "8528",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "C42144",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NV",
            "license": "8528",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "8528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002016755",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Ingersoll
• Jessica C Ingersoll
• Ingham Neuroscience Group LLC
• Alyssa Ingham
• Catherine Ingham
• Riley Ingham
• Robert Harold Ingham, MD
• Sara Inghram
• Denise Maurine Ingle
• Rajendrakumar Raghunath Ingle, MD

• Family Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.