KELLY INGRAHAM
NPI 1629606199
Dentist - Prosthodontics in Rochester, MN
About Kelly Ingraham NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY INGRAHAM (NPI 1629606199) is an individual prosthodontics provider in Rochester, Minnesota, licensed in Minnesota (D14374) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Harvard School Of Dental Medicine (2020).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 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
Kelly Ingraham 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 55905 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.
ROCHESTER, MN 55905
ROCHESTER, MN 55905
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 Kelly Ingraham's NPI number?
The NPI number for Kelly Ingraham is 1629606199. It was assigned to this individual provider in the NPPES registry on March 31, 2020. The provider is also known as Kelly Suralik.
Where is Kelly Ingraham located?
Kelly Ingraham practices at 200 1st St SW, Rochester, MN 55905. The listed phone number is (507) 284-2339.
What is Kelly Ingraham's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.
Is Kelly Ingraham enrolled in Medicare?
Yes. Kelly Ingraham 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 Kelly Ingraham accept?
Health plans from Florida Combined Life and Medica list Kelly Ingraham 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 Kelly Ingraham was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Kelly Ingraham · NPI 1629606199
Prosthodontics provider in Rochester, Minnesota. Individual provider, active in the CMS NPPES registry since March 31, 2020.
## Identity
- **NPI:** 1629606199 (Entity type: Individual)
- **Enumerated:** March 31, 2020
- **Primary specialty:** Dentist - Prosthodontics · taxonomy 1223P0700X
- **State license:** D14374 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 1ST ST SW, Rochester, MN 55905-0002
- **Phone:** (507) 284-2339
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Medical school:** Harvard School Of Dental Medicine, class of 2020
## Record status
- **NPPES last updated:** January 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1629606199) · Data from the CMS NPPES public registry.