Ingrid Bocanegra

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R0362 Issued in TX

Practice address

4800 Fournace PL
Bellaire, TX 77401-2324

Phone

(346) 426-0478

NPI assigned

May 20, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Arnett Clinic, LLC

  • Internal Medicine Physician
  • Lafayette, IN
  • NPI 1164490843

  Family Medicine, IN

  Medicare reassignment NPD
• Arnett Clinic, LLC

  • Durable Medical Equipment & Medical Supplies
  • Lafayette, IN
  • NPI 1699839563
  NPD
• Arnett Clinic, LLC

  • Clinical Medical Laboratory
  • Lafayette, IN
  • NPI 1881655090
  NPD
• Harris County Hospital District

  • Ambulatory Surgical Clinic/Center
  • Houston, TX
  • NPI 1548400229
  NPD (past)

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1902125503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270714",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772770714",
            "telephone_number": "305-915-3064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 FOURNACE PL",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774012324",
            "telephone_number": "346-426-0478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCANEGRA",
        "first_name": "INGRID",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-20",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01073251A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R0362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN FOR FAMILY MEDICINE TIN 35-2030653",
            "identifier": "000000851833",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM URGENT CARE PIN FOR TIN 35-2030653",
            "identifier": "000000865042",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201093580",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bloom Concierge Services, PLLC
• Blossom Pediatrics and Lactation, PLLC
• Henry J Blum, M.D.
• Tracey Lee Blumrosen, LCSW
• BNS Dentist PLLC
• Roseanne Elyse Bodin, M.A., CCC-SLP
• Yesica Bonilla
• Shelby Rhea Bonn, PA-C
• Mary L. Bonnette, OTR
• Allison Bootin

• Family Medicine Physician in Bellaire, TX
• Providers in Bellaire, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.