Robert Ingram, M.D.
Individual provider Active NPI Hospitalist Physician · Onancock, VA
NPI 1881743896 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1881743896
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 0101263283 (VA)
- Practice address
- PO Box 430
Onancock, VA 23417-0430 - Phone
- (757) 302-2100
- NPI assigned
- Jan 9, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171030001401 | VA | Practitioner - Hospitalist | 2163697111 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000-27603 | NC | MD | Internal Medicine 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0000-27603 | NC | |
| Hospitalist Physician | 208M00000X | 0101263283 | VA | Yes |
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
Other providers in Onancock, VA
- Michael Grillon
- Thomas Fisher Hare
- Crystal Harris
- Deborah A. Heffron
- Emory F Hurst Jr.
- Innovative Renewal Therapy Center LLC
- Intrepid of Delmarva, Inc.
- Intrepid of Virginia, Inc.
- James J James
- David Fitzgerald Jones
All providers in Onancock, VA · Hospitalist Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.