Individual provider Active NPI

Isaac Ingersoll, DO

  • Internal Medicine Physician
  • Fort Carson, CO
National Provider Identifier
1861998346
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
72162 Issued in WI
Practice address
1650 Cochrane Cir BLDG 7500
Fort Carson, CO 80913-4613
Phone
(719) 526-7160
NPI assigned
Apr 3, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 72162 WI Primary

Addresses

Primary practice location

1650 Cochrane Cir BLDG 7500
Fort Carson, CO 80913-4613

Mailing address

1650 Cochrane Cir BLDG 7500
Fort Carson, CO 80913-4613
Phone (719) 526-7160

Other practice location 1

216 14th Ave SW
Sidney, MT 59270-3519
Phone (406) 488-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, MT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250213003585 WY Practitioner - Internal Medicine 6002248580 Reassigns benefits to 1 organization
I20260511003253 MT Practitioner - Internal Medicine 6002248580 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Pacific NW Un of HS, Col of Osteopathic Medicine, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Sidney Health CenterGroup PAC ID 0749181535, shared by 6 NPIs, 57 clinicians

Practice addresses (Care Compare)

214 14TH Ave SW
Sidney, MT 59270-3521
Phone (406) 488-2112

Hospital & facility affiliations

  • Sidney Health Center Hospital, Sidney, MT, CCN 271344

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
72162WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Family Physicians CurrentSince Dec 29, 2024 Accepting new patients

Locations

2221 Elm St
Rawlins, WY 82301
Phone (307) 324-2221

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": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1861998346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 COCHRANE CIR BLDG 7500",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "809134613",
            "telephone_number": "719-526-7160",
            "fax_number": "719-526-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 COCHRANE CIR BLDG 7500",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "809134613",
            "telephone_number": "719-526-7160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "216 14th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Sidney",
            "state": "MT",
            "postal_code": "592703519",
            "country_code": "US",
            "telephone_number": "406-488-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INGERSOLL",
        "first_name": "ISAAC",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-03",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "72162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Carson, CO

Sources for this page

Verify at the official NPI Registry.