ISAIAH CHARLES INGRAM
NPI 1881259604
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Q: What is Isaiah Ingram's NPI number?

The NPI number for Isaiah Ingram is 1881259604. It was assigned to this individual provider in the NPPES registry on May 7, 2019.

Q: What is Isaiah Ingram's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Isaiah Ingram was last updated on April 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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 May 07, 2019PECOS Enrolled

705 RILEY HOSPITAL DR., RI-5837, INDIANAPOLIS, IN 46202(317) 944-4034 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 6, 2021, May 7, 2019 (2 updates tracked since 2019).

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About Isaiah Charles Ingram NPPES

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

ISAIAH CHARLES INGRAM (NPI 1881259604) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1881259604

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameISAIAH CHARLES INGRAM

Location Address705 RILEY HOSPITAL DR., RI-5837Indianapolis, IN 46202

Mailing Address705 Riley Hospital Dr., Ri-5837Indianapolis, IN 46202 · (317) 944-4034

Phone(317) 944-4034

Sole ProprietorYes

Enumeration DateMay 7, 2019

Last NPPES UpdateApril 6, 20212 updates tracked since enumeration

NPPES CertifiedApril 6, 2021

✔ NPI 1881259604 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.

705 RILEY HOSPITAL DR., RI-5837, Indianapolis, IN 46202

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Secondary Practice Location 1

Location 1408 Kensington Ct Apt 1Louisville, KY 40208-1790 · Phone (937) 304-7463

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Isaiah Charles Ingram 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 7

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

ANNE CLAIRE BRINKWORTH DO

Pediatrics