NICHOLAS ELLIOTT INGRAHAM (M.D.) – Pulmonary Disease Physician, NPI 1033539648

NICHOLAS ELLIOTT INGRAHAM (M.D.) is a healthcare provider. based in Minneapolis, Minnesota. specializing in PULMONARY DISEASE, CRITICAL CARE (INTENSIVISTS). They hold the professional credentials M.D.. They hold a License No. 60063 (MN). The NPI Number for NICHOLAS ELLIOTT INGRAHAM (M.D.) is 1033539648

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS ELLIOTT INGRAHAM (M.D.)
NPI
1033539648
Phone
(612) 626-5031
Address
420 DELAWARE ST SE
Enumeration Date
22 April 2014
Last Update Date
20 November 2023

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7633893344
Graduation Year
2014 (12 years ago)
PAC ID
3870898083
Group Practice PAC ID
1951213057
Professional Enrollment ID
I20160419000268
Address ID
MN553712172PR919XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:12State licenses:1Digital endpointsOther names

369 PULMONARY DISEASE in MN

Provider Addresses for NICHOLAS ELLIOTT INGRAHAM (M.D.)

  • 420 DELAWARE ST SE

    MMC 284

    MINNEAPOLIS, MN 554550341

    Phone: (612) 626-5031

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2016-04-19

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20160419000268IPulmonary DiseaseMNTBD

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
99291Critical care, first 30-74 minutes3112$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2818$0
99214Established patient office or other outpatient visit, 30-39 minutes1614$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 55455)

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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: 1951213057View full group profile

Reviews

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Frequently asked questions

How is NICHOLAS ELLIOTT INGRAHAM (M.D.) identified in CMS data?
CMS-hosted NPPES data lists NICHOLAS ELLIOTT INGRAHAM (M.D.) with NPI 1033539648.
Is NICHOLAS ELLIOTT INGRAHAM (M.D.) still practicing?
NICHOLAS ELLIOTT INGRAHAM (M.D.) is currently listed as active in the public NPI registry.
What healthcare role does NICHOLAS ELLIOTT INGRAHAM (M.D.) hold?
Scheduling teams often label NICHOLAS ELLIOTT INGRAHAM (M.D.) under Pulmonary Disease Physician. Clinical services aligned with this taxonomy classification.
Where is NICHOLAS ELLIOTT INGRAHAM (M.D.) based?
NICHOLAS ELLIOTT INGRAHAM (M.D.) is tied to Minneapolis, Minnesota in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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