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INGRAM MEDICAL CLINIC-CARDIOVASCULAR DIVISION, LLC
NPI 1336139799
Internal Medicine - Cardiovascular Disease in Natchitoches, LA

Active since October 26, 2005CLIA 19D0992532 · Waiver
501 KEYSER AVE, NATCHITOCHES, LA 71457(318) 214-4550(318) 354-2468 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ingram Medical Clinic-cardiovascular Division, Llc NPPES

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

INGRAM MEDICAL CLINIC-CARDIOVASCULAR DIVISION, LLC (NPI 1336139799) is a healthcare organization registered as a cardiovascular disease in Natchitoches, Louisiana and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through October 17, 2027 and lists Christopher L Ingram, Owner, as its authorized official.

NPPES Registry Identity

NPI1336139799
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameINGRAM MEDICAL CLINIC-CARDIOVASCULAR DIVISION, LLC
Location Address501 KEYSER AVENatchitoches, LA 71457-6018
Mailing Address415 Bienville St, Suite 6Natchitoches, LA 71457-5737 · (318) 354-0552 · Fax (318) 354-2468
Phone(318) 214-4550
Fax(318) 354-2468
Organization SubpartNo
Authorized OfficialChristopher L IngramOwner · (318) 354-0552
Enumeration DateOctober 26, 2005
Last NPPES UpdateJuly 21, 2022
✔ NPI 1336139799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
501 KEYSER AVE, Natchitoches, LA 71457
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Other Identifiers 1

Medicaid1993450LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ingram Medical Clinic-cardiovascular Division, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateLouisianaEnrollment IDO20080107000378Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ingram Medical Clinic-Cardiovascular Division, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Christopher Ingram, MD
Cardiovascular Disease (Cardiology)
NPI 1366432718
501 KEYSER AVE
Natchitoches, LA 71457
(318) 214-4550
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D0992532

Ingram Medical Clinic · Natchitoches, LA
Active · expires Oct 17, 2027
CLIA Number19D0992532
Laboratory TypePhysician Office
Certificate Effective DateOctober 18, 2025
Certificate Expiration DateOctober 17, 2027
Laboratory DirectorMary I. Long
Laboratory Phone(318) 354-9348
Laboratory LocationIngram Medical Clinic114 East Fifth Street, Natchitoches, LA 71457
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Ingram Medical Clinic-Cardiovascular Division, LLC's NPI number?

The NPI number for Ingram Medical Clinic-Cardiovascular Division, LLC is 1336139799. It was assigned to this organization in the NPPES registry on October 26, 2005.

Where is Ingram Medical Clinic-Cardiovascular Division, LLC located?

Ingram Medical Clinic-Cardiovascular Division, LLC is located at 501 Keyser Ave, Natchitoches, LA 71457. The listed phone number is (318) 214-4550.

What is Ingram Medical Clinic-Cardiovascular Division, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Ingram Medical Clinic-Cardiovascular Division, LLC enrolled in Medicare?

Yes. Ingram Medical Clinic-Cardiovascular Division, LLC is registered in the Medicare PECOS enrollment system.

When is Ingram Medical Clinic-Cardiovascular Division, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Louisiana, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Ingram Medical Clinic-Cardiovascular Division, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Cardiovascular Disease (Cardiology)) reassigns their Medicare billing to Ingram Medical Clinic-Cardiovascular Division, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ingram Medical Clinic-Cardiovascular Division, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D0992532) is associated with this NPI, valid through October 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ingram Medical Clinic-Cardiovascular Division, LLC accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Ingram Medical Clinic-Cardiovascular Division, LLC 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 Ingram Medical Clinic-Cardiovascular Division, LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.