Judith A Ingalls IV, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

23364 Issued in AZ

Practice address

36800 N Sidewinder
Sutie A4
Carefree, AZ 85377-5848

Phone

(480) 595-0431

Fax

(480) 595-2322

NPI assigned

Feb 17, 2006

Last updated

Jan 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Sep 20, 2023 through Sep 20, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carefree Family Medicine,PC

  • Family Medicine Physician
  • Scottsdale, AZ
  • NPI 1740400183
  Authorized official Same address or phone
• Carefree Internal Medicine, PC

  • Internal Medicine Physician
  • Carefree, AZ
  • NPI 1861680613
  NPD (past)
• Moxi Medical Associates

  • Women's Health Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1285225839
  NPD (past)

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1811962590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2892",
            "city": "CAREFREE",
            "state": "AZ",
            "postal_code": "853772892",
            "telephone_number": "480-488-0575",
            "fax_number": "480-374-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36800 N SIDEWINDER",
            "address_2": "SUTIE A4",
            "city": "CAREFREE",
            "state": "AZ",
            "postal_code": "853775848",
            "telephone_number": "480-595-0431",
            "fax_number": "480-595-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGALLS",
        "first_name": "JUDITH",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "name_suffix": "IV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "23364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah K Gooch, DC
• Jacqueline B Greenfield, NMD
• Health Solutions Center,PLLC
• Heritage at Carefree
• Diane E Hrdina, MD
• Monica Marie Jensen, PT
• Susanne Catherine Johnson, MA, LPC
• Kenneth Kearns
• George Koukouves, L.M.T.
• Lisa Lloyd, FNP

• Family Medicine Physician in Carefree, AZ
• Providers in Carefree, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.