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EAGAN INGRODY
NPI 1346080629
Student in an Organized Health Care Education/Training Program in Saint Clair Shores, MI

Active since May 25, 2024PECOS Enrolled
24911 LITTLE MACK AVE STE C, SAINT CLAIR SHORES, MI 48080(586) 777-2050(586) 777-2189 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eagan Ingrody NPPES

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

EAGAN INGRODY (NPI 1346080629) is an individual student in an organized health care education/training program in Saint Clair Shores, Michigan and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Saginaw.

NPPES Registry Identity

NPI1346080629
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameEAGAN INGRODY
Location Address24911 LITTLE MACK AVE STE CSaint Clair Shores, MI 48080-3200
Mailing Address24911 Little Mack Ave Ste CSaint Clair Shores, MI 48080-3200 · (586) 777-2050 · Fax (586) 777-2189
Phone(586) 777-2050
Fax(586) 777-2189
Sole ProprietorNo
Enumeration DateMay 25, 2024
Last NPPES UpdateApril 7, 2026
NPPES CertifiedApril 7, 2026
✔ NPI 1346080629 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.
24911 LITTLE MACK AVE STE C, Saint Clair Shores, MI 48080
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Secondary Practice Location 1

Location 11632 Stone StSaginaw, MI 48602 · Phone (989) 583-6595

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eagan Ingrody 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. VANESSA TAN DO, MBA
Student in an Organized Health Care Education/Training Program
24911 LITTLE MACK AVE STE C
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 777-2050
DR. EMIANKA SOTIRI MD
Family Medicine
24911 LITTLE MACK AVE STE C
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 777-2050
TAZKIA SADIA AL-BARI MD
Family Medicine
24911 LITTLE MACK AVE STE C
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 777-2050
SHEHR HUSSAIN DO
Student in an Organized Health Care Education/Training Program
24911 LITTLE MACK AVE STE C
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 777-2050
DR. AMRITA PANDEY MD
Student in an Organized Health Care Education/Training Program
24911 LITTLE MACK AVE STE C
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 777-2050
DR. AMIT MISRA MD
Family Medicine
24911 LITTLE MACK AVE STE C
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 777-2050
SARAH HAGLE MD
Family Medicine
24911 LITTLE MACK AVE STE C
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 447-9064
DR. SIGMUND O MCINTYRE MD
Family Medicine
24911 LITTLE MACK AVE STE C
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 447-9071

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 Eagan Ingrody's NPI number?

The NPI number for Eagan Ingrody is 1346080629. It was assigned to this individual provider in the NPPES registry on May 25, 2024.

Where is Eagan Ingrody located?

Eagan Ingrody practices at 24911 Little Mack Ave Ste C, Saint Clair Shores, MI 48080. The listed phone number is (586) 777-2050.

What is Eagan Ingrody's specialty?

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

Is Eagan Ingrody enrolled in Medicare?

Yes. Eagan Ingrody is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Eagan Ingrody was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.