Iredell Waddell Iglehart III, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D33400 Issued in MD

Practice address

6301 N Charles St
Suite 5
Baltimore, MD 21212-1047

Phone

(410) 372-0300

Fax

(410) 372-0304

NPI assigned

Oct 17, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

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 Medicine

Education

Johns Hopkins University School of Medicine, 1983

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

21.57 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

71.91

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304294400000",
    "number": "1841289337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 N CHARLES ST",
            "address_2": "SUITE 5",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212121047",
            "telephone_number": "410-372-0300",
            "fax_number": "410-372-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 N CHARLES ST",
            "address_2": "SUITE 5",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212121047",
            "telephone_number": "410-372-0300",
            "fax_number": "410-372-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGLEHART",
        "first_name": "IREDELL",
        "middle_name": "WADDELL",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2011-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D33400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286881400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Olusola Ige
• Tolulope Ige, PMHNP-BC
• Ilani Ighedosa, LCSW-C
• Jennifer Ighodaro
• Vanessa Ighodaro
• Julissa Iglesias Cruz
• Igm Career Solutions LLC
• Elisa Ignatius, M.D., M.SC.
• Ayomide Igun, MD
• Orleen Alexanderina Igwe, LPN

• Internal Medicine Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; 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.