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DR. SUSAN ELIZABETH INGRAHAM MD, PHD
NPI 1841445921
Pediatrics - Pediatric Nephrology in Gainesville, FL

Active since November 17, 2008PECOS EnrolledAccepts Medicare Assignment
85.78/100
CMS Quality Rating
1600 SW ARCHER RD, GAINESVILLE, FL 32610(352) 265-0301 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 7, 2024, Feb 4, 2016 (2 updates tracked since 2016).

About Dr. Susan Elizabeth Ingraham Md, Phd NPPES

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

DR. SUSAN ELIZABETH INGRAHAM MD, PHD (NPI 1841445921) is an individual pediatric nephrology provider in Gainesville, Florida, licensed in Florida (ME170713) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Honolulu, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1841445921
Entity TypeIndividualFemale
Primary Taxonomy2080P0210X
Provider Legal NameDR. SUSAN ELIZABETH INGRAHAMCredential: MD, PHD
Location Address1600 SW ARCHER RDGainesville, FL 32610-1956
Mailing AddressPo Box 100296Gainesville, FL 32610-0296 · (352) 627-9350
Phone(352) 265-0301
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateNovember 17, 2008
Last NPPES UpdateNovember 7, 20242 updates tracked since enumeration
NPPES CertifiedNovember 7, 2024
✔ NPI 1841445921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0210X
Licenses✔ Licensed in FL · ME170713✔ Licensed in HI · 18713✔ Licensed in OH · 35-088687
Definition
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
1600 SW ARCHER RD, Gainesville, FL 32610
Open in Google Maps ↗

Secondary Practice Location 1

Location 11314 S King St, Suite 415Honolulu, HI 96814-1956 · Phone (808) 592-3250 · Fax (808) 592-3251

Other Identifiers 1

Medicaid3147866OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, CareSource, Florida Blue (BlueCross BlueShield FL) and more.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

Dr. Susan Elizabeth Ingraham Md, Phd 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 ID42483828
PECOS Enrollment IDI20241114002605
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 Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.96
Promoting Interoperability100
Improvement Activities40
Cost69.65

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. BAHAREH EBADIFAR KEITH DO
Pediatrics
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-0462
AFRASYAB KHAN
Surgery
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 265-0680
GULSUN ERDAG MD
Pathology (Anatomic Pathology & Clinical Pathology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 265-9900
DR. ALBERT H. MATTIA D.D.S.
Dentist (Prosthodontics)
1600 SW ARCHER RD, D4-4
GAINESVILLE, FL 32610
Alachua County (352) 273-5801
JOANNA CHAFFIN
Pathology (Anatomic Pathology & Clinical Pathology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 627-9272
DR. CASEY JUSTIN BEAL MD
Ophthalmology
1600 SW ARCHER RD, BOX 100284
GAINESVILLE, FL 32610
Alachua County (352) 273-8778
WILLIAM CRAIG HICKS CRNA
Nurse Anesthetist, Certified Registered
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-6438
HENRY FONTILLAS PATALINGHUG CRNA
Nurse Anesthetist, Certified Registered
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-6438

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 Susan Ingraham's NPI number?

The NPI number for Susan Ingraham is 1841445921. It was assigned to this individual provider in the NPPES registry on November 17, 2008.

Where is Susan Ingraham located?

Susan Ingraham practices at 1600 SW Archer Rd, Gainesville, FL 32610. The listed phone number is (352) 265-0301.

What is Susan Ingraham's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Is Susan Ingraham enrolled in Medicare?

Yes. Susan 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 Susan Ingraham accept?

Health plans from AvMed, CareSource, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and HMSA and 2 other insurers list Susan 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 Susan Ingraham was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.