DR. INGRID KAREN ICHESCO M.D.
NPI 1588890057
Pediatrics - Sports Medicine in Ann Arbor, MI
NPI Status: Active since June 10, 2009
Contact Information
1500 E MEDICAL CENTER DR
ANN ARBOR, MI
ZIP 48109
Phone: (734) 936-4000
- Individual
- Female
- Pediatrics
- Sports Medicine
- Accepts Insurance
- PECOS Enrolled
About INGRID ICHESCO
This page provides the complete NPI Profile along with additional information for Ingrid Ichesco, a pediatrician established in Ann Arbor, Michigan with a medical specialization in Pediatrics, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1588890057 assigned on June 2009. The practitioner's primary taxonomy code is 2080S0010X with license number 4301094450 (MI). The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1588890057
- Provider Name
- DR. INGRID KAREN ICHESCO M.D.
- Other Name
- INGRID KRAUS
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1500 E MEDICAL CENTER DR ANN ARBOR, MI 48109
- Location Phone
- (734) 936-4000
- Mailing Address
- 3621 S STATE ST ANN ARBOR, MI 48108
- Mailing Phone
- (734) 647-5299
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-10-2009
- Last Update Date
- 10-01-2019
- Code Navigator
A pediatrician like Ingrid Ichesco is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Sports Medicine
- Taxonomy Code
- 2080S0010X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 4301094450
- License State
- MI
- Taxonomy Description
- A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | 4301094450 (MI) |
| 2 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program | 4301094450 (MI) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
- Bronze First - HMO
- Bronze First Adult Vision & Fitness - HMO
- Diabetes Gold - HMO
- Diabetes Gold Adult Vision & Fitness - HMO
- Diabetes Silver - HMO
- Diabetes Silver Adult Vision & Fitness - HMO
- Gold - HMO
- Gold Adult Vision & Fitness - HMO
- HDHP Preventive Silver - HMO
- Healthy Heart Gold - HMO
- MHP Bronze - HMO
- MHP Bronze Saver (Expanded) - HMO
- MHP Expanded Bronze Standard - HMO
- MHP Gold - HMO
- MHP Gold Standard - HMO
- MHP Silver Exchange - HMO
- MHP Silver Exchange Rewards - HMO
- MHP Silver Standard - HMO
- MHP Young Adult/Catastrophic - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- MyPriority Balanced Silver - HMO
- MyPriority Premier Silver - HMO
- MyPriority Standard Bronze - HMO
- MyPriority Standard Bronze - Travel - HMO
- MyPriority Standard Gold - HMO
- MyPriority Standard Silver - HMO
- MyPriority Standard Silver - Travel - HMO
- MyPriority Value Bronze - HMO
- MyPriority Value Bronze HSA - HMO
- University of Michigan Health Plan HMO Exclusive Bronze - HMO
- University of Michigan Health Plan HMO Exclusive Bronze HSA - HMO
- University of Michigan Health Plan HMO Exclusive Bronze Standard - HMO
- University of Michigan Health Plan HMO Exclusive Catastrophic - HMO
- University of Michigan Health Plan HMO Exclusive Gold Classic - HMO
- University of Michigan Health Plan HMO Exclusive Gold Select - HMO
- University of Michigan Health Plan HMO Exclusive Gold Standard - HMO
- University of Michigan Health Plan HMO Exclusive Silver - HMO
- University of Michigan Health Plan HMO Exclusive Silver Select Plus - HMO
- University of Michigan Health Plan HMO Exclusive Silver Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Ingrid Ichesco is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for DR. INGRID KAREN ICHESCO M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 8 | 8 | 8 | 9 | 0 | 0 | 5 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 16 | 8 | 16 | 9 | 0 | 0 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 6 + 8 + 1 + 6 + 9 + 0 + 0 + 1 + 0 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1588890057 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. TAMI L. REMINGTON PHARM.D.
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ANN ARBOR, MI
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DR. JAMES G STEVENSON PHARMD
Pharmacist
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ANN ARBOR, MI
ZIP 48109
DR. SALLY K GUTHRIE PHARM.D.
Pharmacist
(Psychiatric)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI
ZIP 48109
DR. KARLA AURORA BLACKWOOD MD
Psychiatry & Neurology
(Psychiatry)
1500 E MEDICAL CENTER DR
B1 FLOOR UNIVERSITY HOSPITAL RECP EMERGENCY
ANN ARBOR, MI
ZIP 48109
DEBORAH LOUISE VIHER NP
Nurse Practitioner
1500 E MEDICAL CENTER DR
3RD FLOOR TAUBMAN CENTER RECP D
ANN ARBOR, MI
ZIP 48109
MS. DEBRA BANCROFT RIZZO F.N.P.-C
Nurse Practitioner
1500 E MEDICAL CENTER DR
3RD TAUBMAN CENTER RECP A
ANN ARBOR, MI
ZIP 48109
WILLIAM CHARLES STACEY M.D., PHD
Psychiatry & Neurology
(Neurology)
1500 E MEDICAL CENTER DR
1ST FLOOR TAUBMAN CENTER RECP C
ANN ARBOR, MI
ZIP 48109
DR. ELIZABETH KATHERINE SPELIOTES MD PHD
Internal Medicine
(Gastroenterology)
1500 E MEDICAL CENTER DR
3RD FLOOR TAUBMAN CENTER RECP D
ANN ARBOR, MI
ZIP 48109
DR. ROBERT ADAM LIOTTA M.D.
Radiology
(Diagnostic Radiology)
1500 E MEDICAL CENTER DR
B1 FLOOR UNIVERSITY HOSPITAL RECP C
ANN ARBOR, MI
ZIP 48109
LISA A HARRIS SPINNER CRNA
Nurse Anesthetist, Certified Registered
1500 E MEDICAL CENTER DR
1ST FLOOR TAUBMAN CENTER RECP E
ANN ARBOR, MI
ZIP 48109
SHANNON LEE MITCHELL CRNA
Nurse Anesthetist, Certified Registered
1500 E MEDICAL CENTER DR
1H247 UNIVERSITY HOSPITAL
ANN ARBOR, MI
ZIP 48109
CHRISTINA BUSH CRNA
Nurse Anesthetist, Certified Registered
1500 E MEDICAL CENTER DR
ANN ARBOR, MI
ZIP 48109
MARLENA STANKIEWICZ CRNA
Nurse Anesthetist, Certified Registered
1500 E MEDICAL CENTER DR
1H247 UNIVERSITY HOSPITAL
ANN ARBOR, MI
ZIP 48109
DENISE R BAUER N.P.
Nurse Practitioner
1500 E MEDICAL CENTER DR
7TH FLOOR MOTT RM F7830
ANN ARBOR, MI
ZIP 48109
MRS. CARRIE LEE LINT RN ACNP
Nurse Practitioner
1500 E MEDICAL CENTER DR
2ND FLOOR TAUBMAN CENTER RECP G
ANN ARBOR, MI
ZIP 48109
MRS. TAMARA MANGAN GHORMLEY NP
Nurse Practitioner
(Family)
1500 E MEDICAL CENTER DR
B1 FLOOR CANCER CTR RECP C
ANN ARBOR, MI
ZIP 48109
ELENA MARTINEZ STOFFEL MD MPH
Internal Medicine
(Gastroenterology)
1500 E MEDICAL CENTER DR
3RD FLOOR TAUBMAN CENTER RECP D
ANN ARBOR, MI
ZIP 48109
DR. DAVID J BROWN M.D.
Otolaryngology
1500 E MEDICAL CENTER DR
2ND FLOOR TAUBMAN CTR RECP G
ANN ARBOR, MI
ZIP 48109
CORRIE M YABLON MD
Radiology
(Diagnostic Radiology)
1500 E MEDICAL CENTER DR
2ND FLOOR TAUBMAN CENTER RECP A
ANN ARBOR, MI
ZIP 48109
KEITH GINGERICH CRNA
Nurse Anesthetist, Certified Registered
1500 E MEDICAL CENTER DR
ANN ARBOR, MI
ZIP 48109
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1588890057, enumerated as an "individual" on June 10, 2009.
The provider is located at 1500 E MEDICAL CENTER DR ANN ARBOR, MI 48109 and the phone number is (734) 936-4000.
Pediatrics with taxonomy code 2080S0010X and a focus in Sports Medicine.
The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Blue Care. Please consult your insurance carrier or call the provider to verify.
