KENNETH DALE INGRAM PA
NPI 1083620686
Physician Assistant in Portland, OR
About Kenneth Dale Ingram Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH DALE INGRAM PA (NPI 1083620686) is an individual physician assistant in Portland, Oregon, licensed in Oregon (PA00660) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1999).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kenneth Dale Ingram Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97239 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
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 Kenneth Ingram's NPI number?
The NPI number for Kenneth Ingram is 1083620686. It was assigned to this individual provider in the NPPES registry on August 1, 2006.
Where is Kenneth Ingram located?
Kenneth Ingram practices at 3181 SW Sam Jackson Park Rd L-461, Portland, OR 97239. The listed phone number is (503) 494-8577.
What is Kenneth Ingram's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Kenneth Ingram enrolled in Medicare?
Yes. Kenneth Ingram is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Kenneth Ingram accept?
Health plans from Kaiser Permanente list Kenneth Ingram as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kenneth Ingram was last updated on July 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.
# Kenneth Dale Ingram, PA · NPI 1083620686
Physician Assistant physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since August 1, 2006.
## Identity
- **NPI:** 1083620686 (Entity type: Individual)
- **Enumerated:** August 1, 2006
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** PA00660 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 3181 SW SAM JACKSON PARK RD, L-461, Portland, OR 97239-3011
- **Phone:** (503) 494-8577
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** July 10, 2007
- **Other identifiers:** Medicare UPIN P32519
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Source: [NPI Profile](https://npiprofile.com/npi/1083620686) · Data from the CMS NPPES public registry.