Active NPI
Kristyn B. Ingram, MD
- Pediatric Anesthesiology Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Anesthesiology Physician
- License
- N8667
- Practice address
- 920 Stanton L Young Blvd # Wp1140
Oklahoma City, OK 73104-5036 - Phone
- (405) 271-4351
- NPI assigned
- Nov 29, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 43042 | OK | |
| Anesthesiology Physician | 207L00000X | N8667 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Anesthesiology Physician | 207LP3000X | N8667 | TX | Primary |
Addresses
Primary practice location
920 Stanton L Young Blvd # Wp1140
Oklahoma City, OK 73104-5036
Mailing address
PO Box 26901
Oklahoma City, OK 73126-0901
Phone (405) 271-4351
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 302497802 | Medicaid | TX | |
| 302497801 | Medicaid | TX | |
| 60826576 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Texas Medical School at San Antonio, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
125 W Castellano Dr
El Paso, TX 79912-6108
Phone (915) 532-8200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43042 | OK | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Tech University Health Sciences Center El Paso | Current | Accepting new patients | |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center El Paso | Anesthesiology | Current | Accepting new patients |
| Children'S Physician Services of South Texas | Current | Accepting new patients | |
| Children'S Physician Services of South Texas | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center El Paso | Current | Accepting new patients | |
| Guide Anesthesia TX PLLC | Anesthesiology | Current | Accepting new patients |
| Providence Imaging Consultants, P.a. | Past | Accepting new patients |
Locations
4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872
900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230
920 Stanton L Young Blvd
#1140
Oklahoma City, OK 73104
Phone (405) 271-4515
3533 S Alameda St
Corpus Christi, TX 78411
Phone (361) 694-5445
3533 S Alameda St
Ste 203
Corpus Christi, TX 78411
4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000
125 W Castellano Dr
El Paso, TX 79912
Phone (915) 532-8200
4800 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5666
Interoperability endpoints
- kristyn.ingram@direct.myhealthep.org
Organizations & group practices 9
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.
-
- Certified Registered Nurse Anesthetist
- El Paso, TX
- NPI 1205604972
Anesthesiology
-
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1528642642
-
- Plastic Surgery Physician
- Corpus Christi, TX
- NPI 1568658227
-
- Internal Medicine Physician
- El Paso, TX
- NPI 1598705055
-
- Prosthetic/Orthotic Supplier
- Oklahoma City, OK
- NPI 1447834460
-
- Pediatrics Physician
- Corpus Christi, TX
- NPI 1801856786
-
- Neurological Surgery Physician
- El Paso, TX
- NPI 1457913444
-
- Anesthesiology Physician
- El Paso, TX
- NPI 1720040603
-
- Diagnostic Radiology Physician
- El Paso, TX
- NPI 1659469344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712534400000",
"number": "1770765901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26901",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731260901",
"telephone_number": "405-271-4351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 STANTON L YOUNG BLVD # WP1140",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045036",
"telephone_number": "405-271-4351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGRAM",
"first_name": "KRISTYN",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-29",
"last_updated": "2024-04-08",
"certification_date": "2024-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OK",
"license": "43042",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "N8667",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "TX",
"license": "N8667",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "302497802",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "302497801",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "60826576",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.