Look up the most recent NPI and PECOS records

Kevin Lucas Ingalls

Radiology

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as KEVIN INGALLS.

Based on the most recent information from CMS, provider Kevin Lucas Ingalls is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1770748543
Provider Type
Individual
Full Name
Ingalls, Kevin Lucas
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
7/22/2008
Last Updated
8/2/2013

Contact Information

Practice Location

1 Hospital Dr, Columbia, MO 65212-0001

(573) 882-1026

(573) 884-8876

Mailing Location

PO Box 7687, Columbia, MO 65205-7687

(573) 882-2259

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2085R0202X Primary	Description Radiology Allopathic & Osteopathic Physicians	License 2012027552 Missouri
Code 2085R0202X	Description Radiology Allopathic & Osteopathic Physicians	License 2008020873 Missouri

Kevin Lucas Ingalls

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Moore, Kelli Jo

Tahon, Nourel Hoda

Crim, Julia Ruth

Hillard, Alan E

Vaslow, Dale F

Connors, James Phillip

Cleek, John

Garg, Megha

Kumar, Pragati

Baqar, Mohammad