Active NPI
Robert Ingram, M.D.
- Hospitalist Physician
- Onancock, VA
National Provider Identifier
1881743896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 0101263283
- Practice address
- PO Box 430
Onancock, VA 23417-0430 - Phone
- (757) 302-2100
- NPI assigned
- Jan 9, 2007
- Last updated
- Mar 17, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0000-27603 | NC | |
| Hospitalist Physician | 208M00000X | 0101263283 | VA | Primary |
Addresses
Primary practice location
PO Box 430
Onancock, VA 23417-0430
Mailing address
3400 Wake Forest Rd
DHRH Inpatient Medical Service
Raleigh, NC 27609-7317
Other practice location 1
3400 Wake Forest Rd
Raleigh, NC 27609-7317
Phone (919) 620-4467
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000-27603 | NC | MD | Internal Medicine Physician |
| 0101263283 | VA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Physician Services Inc | Current | Accepting new patients |
Locations
856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900
Organizations & group practices 1
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.
-
dba Riverside Gastroenterology Specialists
- Gastroenterology Physician
- Newport News, VA
- NPI 1194929026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1881743896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 WAKE FOREST RD",
"address_2": "DHRH INPATIENT MEDICAL SERVICE",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 430",
"city": "ONANCOCK",
"state": "VA",
"postal_code": "234170430",
"telephone_number": "757-302-2100"
}
],
"practiceLocations": [
{
"address_1": "3400 Wake Forest Rd",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276097317",
"country_code": "US",
"telephone_number": "919-620-4467",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "INGRAM",
"first_name": "ROBERT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "0000-27603",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "VA",
"license": "0101263283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Onancock, VA
- Michael Grillon, MD
- Thomas Fisher Hare, RPA-C
- Crystal Harris, MSN, AGACNP C
- Deborah A. Heffron, RD, LDN
- Emory F Hurst Jr., RPH
- Innovative Renewal Therapy Center LLC
- Intrepid of Delmarva, Inc. (Intrepid USA Healthcare Services)
- Intrepid of Virginia, Inc. (Intrepid USA Hospice)
- James J James, M.D.
- David Fitzgerald Jones, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.