Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MAXINE BONNIE INGHAM MD
NPI 1730294455
Family Medicine in Las Vegas, NV

Q: What is Maxine Ingham's NPI number?

The NPI number for Maxine Ingham is 1730294455. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Q: What is Maxine Ingham's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Maxine Ingham was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days 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 August 21, 2006PECOS EnrolledAccepts Medicare Assignment

3333 S MARYLAND PKWY, LAS VEGAS, NV 89169(702) 787-4512(917) 525-5940 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 18, 2026, Jun 25, 2025, Mar 25, 2025 and 2 more (5 updates tracked since 2017).

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About Maxine Bonnie Ingham Md NPPES

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

MAXINE BONNIE INGHAM MD (NPI 1730294455) is an individual family medicine provider in Las Vegas, Nevada, licensed in Nevada (8528) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1730294455

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMAXINE BONNIE INGHAMCredential: MD

Location Address3333 S MARYLAND PKWYLas Vegas, NV 89169-3098

Mailing Address3333 S Maryland PkwyLas Vegas, NV 89169-3098 · (702) 787-4512 · Fax (917) 525-5940

Phone(702) 787-4512

Fax(917) 525-5940

Sole ProprietorYes

Medical School CMSOtherGraduated 1984

Enumeration DateAugust 21, 2006

Last NPPES UpdateSeptember 18, 20265 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2026

✔ NPI 1730294455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NV · 8528

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedInternal MedicineTaxonomy 207R00000X · License 8528 (NV)

Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X · License C42144 (CA), 8528 (NV), M-10233 (ID)

Also ListedHospitalistTaxonomy 208M00000X · License 8528 (NV), C42144 (CA)

Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X · License 8528 (NV)

3333 S MARYLAND PKWY, Las Vegas, NV 89169

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Secondary Practice Locations 3

Location 11815 Quarley PlHenderson, NV 89014-3873 · Phone (702) 381-3889 · Fax (725) 910-0967

Location 22940 S Jones Blvd, Suite eLas Vegas, NV 89146-5636 · Phone (702) 227-6947 · Fax (702) 247-4319

Location 3920 W Owens Ave Ste BLas Vegas, NV 89106-2516 · Phone (702) 846-6622 · Fax (702) 685-9014

Other Identifiers 1

Medicaid002016755NV

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Maxine Bonnie Ingham Md 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.

PECOS PAC ID8325014541

PECOS Enrollment IDI20101028000939

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.

Medicare Billing Reassignments

Medicare enrollment records show Maxine Ingham reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Millennium Healthcare LLC

4.2 mi

General Practice

920 W OWENS AVE STE B
Las Vegas, NV 89106

Reassigned Medicare billing, Nevada enrollment
2 clinicians in this Medicare group

NPI 1730867193 (702) 659-6910

Mus Community Medical Clinic

4.5 mi

Primary Care

1703 CIVIC CENTER DR STE 5A
North Las Vegas, NV 89030

Reassigned Medicare billing, Nevada enrollment
4 clinicians in this Medicare group

NPI 1487454690 (725) 444-1173

Ctd Network LLC

2,006 mi

Multi-Specialty

1805 JAMES L REDMAN PKWY STE 201
Plant City, FL 33563

Reassigned Medicare billing, Nevada enrollment
3 clinicians in this Medicare group

NPI 1851039762 (813) 807-3338

Premium Healthcare LLC

2,077 mi

Wound Care

8000 TOWERS CRESCENT DR STE 1352
Vienna, VA 22182

Reassigned Medicare billing, Nevada enrollment
3 clinicians in this Medicare group

NPI 1982379590 (251) 901-3011

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

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

69 services69 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

44 services19 patients

Complete ultrasound scan of joint 76881

A complete ultrasound scan of a joint is a non-invasive procedure using sound waves to create images of your joint. It helps identify problems like inflammation, injury, or disease. It's painless, safe, and doesn't involve radiation.

38 services19 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

31 services31 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

26 services26 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89169 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

LIFE HEALING LLC

Community/Behavioral Health

3333 S MARYLAND PKWY
LAS VEGAS, NV 89169

Clark County (424) 115-9731

ON-TIME MEDICAL SUPPLY LLC

Durable Medical Equipment & Medical Supplies

3333 S MARYLAND PKWY, SUITE #2
LAS VEGAS, NV 89169

Clark County (702) 605-6905

HEALING LIFE LLC

Community/Behavioral Health

3333 S MARYLAND PKWY
LAS VEGAS, NV 89169

Clark County (702) 351-8877

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 Maxine Ingham's NPI number?

The NPI number for Maxine Ingham is 1730294455. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Maxine Ingham located?

Maxine Ingham practices at 3333 S Maryland Pkwy, Las Vegas, NV 89169. The listed phone number is (702) 787-4512.

What is Maxine Ingham's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Maxine Ingham enrolled in Medicare?

Yes. Maxine Ingham 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.

Which organizations bill Medicare for Maxine Ingham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maxine Ingham reassigns Medicare benefits to 4 organizations: Millennium Healthcare LLC (Las Vegas, NV), Mus Community Medical Clinic (North Las Vegas, NV), Ctd Network LLC (Plant City, FL) and Premium Healthcare LLC (Vienna, VA). Each 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 Maxine Ingham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Maxine Ingham was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days 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.