Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark Ingram

Individual provider Gastroenterology Physician · NPI 1710040621

Dr. Mark Ingram is a General Practice in Bronx, New York. Qualified in 1990, 36 years ago. Practices with St Josephs Medical Group PC, a 226-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
36
Licensed in
NY
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

234 E 149th St Lincoln Hospital Dept OF Surgery Rm 6-20
Bronx, NY 10451-5504
Phone: (718) 579-5900
Fax: (718) 579-4620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 205770 (NY)
Surgery Physician Taxonomy 208600000X · Licence 205770 (NY)

Record details

NPI number1710040621
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 19, 2006
Last updated in NPPESSeptember 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice St Josephs Medical Group Pc — 226 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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