MARTHA INGRAM – Nurse Practitioner, NPI 1477669687

MARTHA INGRAM is a healthcare provider. based in Birmingham, Alabama. specializing in NURSE PRACTITIONER. They hold a License No. 1-078485 (AL). The NPI Number for MARTHA INGRAM is 1477669687

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MARTHA INGRAM
NPI
1477669687
Phone
(205) 801-7451
Address
619 19TH ST S
Enumeration Date
21 August 2006
Last Update Date
29 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6054626155
Graduation Year
2019 (7 years ago)
PAC ID
1850308016
Group Practice PAC ID
4688654130
Professional Enrollment ID
I20250317001715
Address ID
SD575770290WA210XXSTXX400

Contacts

Secure Messaging
mingram@direct.uabmedicine.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

5,653 NURSE PRACTITIONER in AL

Provider Addresses for MARTHA INGRAM

  • 19th Street South, Phelan Park Historic District, Five Points South, Birmingham, Jefferson County, Alabama, 35233, United States

    BIRMINGHAM, AL 352331900

    Phone: (205) 801-7451

    Fax: (205) 801-7467

    Type: Mailing

  • 1720 Ave S

    Birmingham, AL 352940001

    Phone: (205) 801-7452

    Type: Location

  • 1717 6TH AVE S

    BIRMINGHAM, AL 352331801

    Phone:

    Type: Mailing

  • Kirklin Clinic, 2000, 6th Avenue South, Automotive Historic District, Birmingham, Jefferson County, Alabama, 35233, United States

    BIRMINGHAM, AL 352332110

    Phone: (205) 801-4751

    Fax: (205) 801-7467

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $269.

Total Amount is formed as General ($269) + Research ($0) + Ownership ($0) = $269.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Fresenius USA Marketing, Inc. ($88).

Total Amount

$269

General + Research + Ownership

Payments

12

Total payment records

General Amount

$269

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060313000453INurse PractitionerALTBD
I20250317001715INurse PractitionerTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes3929$0
View full utilization report →

Insurance plans in this area (ZIP 35233)

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Provider's Procedures

MARTHA INGRAM performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERAL90961Dialysis services (2-3 physician visits per month), patient 20 years of age and older1512

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688654130View full group profile
NameSpecialtyState
-CA
Diagnostic RadiologyME
General PracticeSD
Nurse PractitionerSD
Nurse PractitionerSD
-MT
Certified Nurse Midwife (Cnm)NM
P O D I A T R YAZ
O P T O M E T R YSD
Nurse PractitionerOK

Reviews

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Frequently asked questions

What is the standard ID for MARTHA INGRAM in the U.S.?
In the U.S., MARTHA INGRAM is identified by NPI 1477669687.
Is MARTHA INGRAM's NPI status active today?
Active status means MARTHA INGRAM's NPI record is not deactivated in the public file.
What services align with MARTHA INGRAM's listing?
MARTHA INGRAM's public classification highlights Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to MARTHA INGRAM?
MARTHA INGRAM shows a connection to Birmingham, Alabama in registry-derived data.
Who maintains MARTHA INGRAM's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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