DR. DOUGLAS HOWARD INGRAM M.D.
NPI 1144400987
Specialist in New York, NY

Q: What is Douglas Ingram's NPI number?

The NPI number for Douglas Ingram is 1144400987. It was assigned to this individual provider in the NPPES registry on November 9, 2007.

Q: What is Douglas Ingram's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: Is Douglas Ingram enrolled in Medicare?

No. Douglas Ingram has opted out of Medicare through July 22, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Douglas Ingram was last updated on November 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since November 09, 2007Opted out of Medicare · through Jul 22, 2027

4 E 89TH ST, SUITE 1-C, NEW YORK, NY 10128(212) 289-4022(212) 289-0475 Get Directions Write a Review

NPPES record last updated: November 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Douglas Howard Ingram M.d. NPPES

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

DR. DOUGLAS HOWARD INGRAM M.D. (NPI 1144400987) is an individual specialist in New York, New York, licensed in New York (103938) and active in the NPI registry since November 2007. He has opted out of Medicare through July 22, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1144400987

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. DOUGLAS HOWARD INGRAMCredential: M.D.

Location Address4 E 89TH ST, SUITE 1-CNew York, NY 10128-0636

Mailing Address4 E 89th St, Suite 1-cNew York, NY 10128-0636 · (212) 289-4022 · Fax (212) 289-0475

Phone(212) 289-4022

Fax(212) 289-0475

Sole ProprietorYes

Enumeration DateNovember 9, 2007

✔ NPI 1144400987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NY · 103938

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

4 E 89TH ST, New York, NY 10128

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Douglas Howard Ingram M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 22, 2015 through July 22, 2027.

Opt-Out Effective DateJuly 22, 2015

Opt-Out In Effect ThroughJuly 22, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 2

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

DR. VIRGINIA ALCOTT SADOCK M.D.

Psychiatry & Neurology (Psychiatry)

4 E 89TH ST, 1E
NEW YORK, NY 10128

New York County (212) 427-0885

JEFFREY RUBIN

Psychiatry & Neurology (Psychiatry)

4 E 89TH ST
NEW YORK, NY 10128

New York County (212) 534-4723

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 Douglas Ingram's NPI number?

The NPI number for Douglas Ingram is 1144400987. It was assigned to this individual provider in the NPPES registry on November 9, 2007.

Where is Douglas Ingram located?

Douglas Ingram practices at 4 E 89th St Suite 1-C, New York, NY 10128. The listed phone number is (212) 289-4022.

What is Douglas Ingram's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Douglas Ingram enrolled in Medicare?

No. Douglas Ingram has opted out of Medicare through July 22, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Douglas Ingram was last updated on November 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.