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KIMBERLY INGELMO MD
NPI 1023819174
Student in an Organized Health Care Education/Training Program in Memphis, TN

Active since March 24, 2025PECOS Enrolled
920 MADISON AVENUE SUITE 447, MEMPHIS, TN 38163(901) 448-4795 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 8, 2025, Apr 4, 2025, Mar 24, 2025 (3 updates tracked since 2025).

About Kimberly Ingelmo Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY INGELMO MD (NPI 1023819174) is an individual student in an organized health care education/training program in Memphis, Tennessee and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023819174
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKIMBERLY INGELMOCredential: MD
Location Address920 MADISON AVENUE SUITE 447Memphis, TN 38163-2804
Mailing Address462 Wagner PlMemphis, TN 38103-4439
Phone(901) 448-4795
Sole ProprietorNo
Enumeration DateMarch 24, 2025
Last NPPES UpdateMay 8, 20253 updates tracked since enumeration
NPPES CertifiedMay 8, 2025
✔ NPI 1023819174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
920 MADISON AVENUE SUITE 447, Memphis, TN 38163
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Ingelmo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALEXIS NOEL HARRIS MS, MD
Student in an Organized Health Care Education/Training Program
920 MADISON AVENUE SUITE 447
MEMPHIS, TN 38163
Shelby County (901) 448-7635
DR. ALI SALEH MOHAMMAD DO
Student in an Organized Health Care Education/Training Program
920 MADISON AVENUE SUITE 447
MEMPHIS, TN 38163
Shelby County (615) 284-3387
KAREN SOPHIA PARK MD
Student in an Organized Health Care Education/Training Program
920 MADISON AVENUE SUITE 447
MEMPHIS, TN 38163
Shelby County (901) 448-5814
PREEYALAK JUJU MILLER
Student in an Organized Health Care Education/Training Program
920 MADISON AVENUE SUITE 447
MEMPHIS, TN 38163
Shelby County (901) 287-6756
DR. KEYTAHNIE A'LESSIONDRA JONES DO
Student in an Organized Health Care Education/Training Program
920 MADISON AVENUE SUITE 447
MEMPHIS, TN 38163
Shelby County (615) 284-3291
EMILY MARIE ESTES MD
Student in an Organized Health Care Education/Training Program
920 MADISON AVENUE SUITE 447
MEMPHIS, TN 38163
Shelby County (901) 522-7700
DR. FULTON ALAN ROBINSON MD
Student in an Organized Health Care Education/Training Program
920 MADISON AVENUE SUITE 447
MEMPHIS, TN 38163
Shelby County (615) 222-4075
STEFAN HANISH
Student in an Organized Health Care Education/Training Program
920 MADISON AVENUE SUITE 447
MEMPHIS, TN 38163
Shelby County (901) 759-3275

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Ingelmo's NPI number?

The NPI number for Kimberly Ingelmo is 1023819174. It was assigned to this individual provider in the NPPES registry on March 24, 2025.

Where is Kimberly Ingelmo located?

Kimberly Ingelmo practices at 920 Madison Avenue Suite 447, Memphis, TN 38163. The listed phone number is (901) 448-4795.

What is Kimberly Ingelmo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kimberly Ingelmo enrolled in Medicare?

Yes. Kimberly Ingelmo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberly Ingelmo was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.