NPIMap

Individual provider Active NPI

Ingrid M Brown, DO

  • Internal Medicine Physician
  • Beavercreek, OH
National Provider Identifier
1952309726
Registry record updated Jun 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34006519B Issued in OH
Practice address
2510 Commons Blvd
Suite 210
Beavercreek, OH 45431-3820
Phone
(937) 429-0607
Fax
(937) 558-3067
NPI assigned
Jul 14, 2005
Last updated
Jun 18, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2014

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 34006519B OH Primary

Addresses

Primary practice location

2510 Commons Blvd
Suite 210
Beavercreek, OH 45431-3820

Mailing address

2510 Commons Blvd
Suite 210
Beavercreek, OH 45431-3820
Phone (937) 429-0607

Other identifiers 5

IdentifierTypeStateIssuer
110195587OtherOHRR MEDICARE
2032133MedicaidOH
311346460032OtherOHCARESOURCE
000000066109OtherOHANTHEM
2176908OtherOHAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100617000291 OH Practitioner - Internal Medicine 2365520681 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio University, College of Osteopathic Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Internal Medicine Care, IncGroup PAC ID 8527959113, 8 clinicians

Practice addresses (Care Compare)

2633 Commons Blvd
Suite 120
Beavercreek, OH 45431-3827
Phone (937) 429-0607

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.97 of 100Reported as individual
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
83.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34006519BOHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Care, Inc Internal Medicine Current Accepting new patients
Dayton Osteopathic Hospital CurrentSince Jan 1, 2000 Accepting new patients
Dayton Osteopathic Hospital CurrentSince Jan 1, 2000 Accepting new patients
Internal Medicine Care, Inc Internal Medicine CurrentSince Aug 1, 1999 Accepting new patients
Specialty Medicine Care, LLC PastSince Nov 15, 2013 Accepting new patients
Dayton Osteopathic Hospital Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

2510 Commons Blvd
Ste 210
Beavercreek, OH 45431
Phone (937) 558-3062

2633 Commons Blvd
Ste 120
Beavercreek, OH 45431
Phone (937) 427-7540

165 S Edwin C Moses Blvd
Dayton, OH 45402
Phone (937) 396-8150

1989 Miamisburg Centerville Rd
Dayton, OH 45459
Phone (937) 434-7353

1989 Miamisburg Centerville Rd
Ste 304
Dayton, OH 45459
Phone (937) 223-6837

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/442/brand/1/csg/1/fhir/r4
  • Direct secure messaging: ingrid.brown.1@442.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 6

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": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403049600000",
    "number": "1952309726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 COMMONS BLVD",
            "address_2": "SUITE 210",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454313820",
            "telephone_number": "937-429-0607",
            "fax_number": "937-558-3067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 COMMONS BLVD",
            "address_2": "SUITE 210",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454313820",
            "telephone_number": "937-429-0607",
            "fax_number": "937-558-3067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "INGRID",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-14",
        "last_updated": "2014-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34006519B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "110195587",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2032133",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "311346460032",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000066109",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2176908",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

Verify at the official NPI Registry.