PHILIP J. ABRAHAM M.D. – NPI #1548375629
Internal Medicine

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

PHILIP ABRAHAM is a physician located in SPRINGFIELD, IL. NPPES has assigned the NPI number 1548375629 to PHILIP ABRAHAM on August 20, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RP1001X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Pulmonary Disease

The NPI profile was previously updated about 6 years ago on May 19, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PHILIP ABRAHAM below.

NPI Profile for
PHILIP J. ABRAHAM

NPI Number
1548375629
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
PHILIP J. ABRAHAM
Credentials
M.D.
Primary location
1025 S 6TH ST
SPRINGFIELD, IL 62703
Phone: (217) 528-7541 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
May 19, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for PHILIP ABRAHAM

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIL03611605
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RP1001X
- Internal Medicine / Pulmonary Disease (Primary)
IL 036116505
207RS0012X
- Internal Medicine / Sleep Medicine
IL 036116505

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
1025 S 6TH ST,
SPRINGFIELD, IL 77025-1669

Additional Information

Education
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE - Graduated 1999
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
PHILIP ABRAHAM is affiliated with the following medical group(s):
  • HOSPITAL
    • DECATUR MEMORIAL HOSPITAL
      2300 NORTH EDWARD STREET
      DECATUR, IL 62526
    • MEMORIAL MEDICAL CENTER
      701 N FIRST ST
      SPRINGFIELD, IL 62702
    • SARAH D CULBERTSON MEMORIAL HOSPITAL
      238 SOUTH CONGRESS STREET
      RUSHVILLE, IL 62681
    • ST JOHNS HOSPITAL
      800 E CARPENTER ST
      SPRINGFIELD, IL 62769
  • HOSPICE
    • HOSPICE CARE OF ILLINOIS
      701 NORTH FIRST STREET
      SPRINGFIELD, IL 62781

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.