CLARE COLETTE PROHASKA M.D.
NPI 1053705467
Internal Medicine - Pulmonary Disease in Indianapolis, IN
About Clare Colette Prohaska M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLARE COLETTE PROHASKA M.D. (NPI 1053705467) is an individual pulmonary disease provider in Indianapolis, Indiana, licensed in Indiana (01082199A) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, is affiliated with Indiana University Health Bloomington Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Clare Colette Prohaska M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Clare Prohaska reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Indianapolis, IN 46202
- Reassigned Medicare billing, Indiana enrollment
- 5,212 clinicians in this Medicare group
Indianapolis, IN 46202
- Reassigned Medicare billing, Indiana enrollment
- 318 clinicians in this Medicare group
Lafayette, IN 47905
- Reassigned Medicare billing, Indiana enrollment
- 671 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Indiana University Health Bloomington Hospital
Acute Care Hospitals · Bloomington, INIndiana University Health
Acute Care Hospitals · Indianapolis, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Clare Prohaska's NPI number?
The NPI number for Clare Prohaska is 1053705467. It was assigned to this individual provider in the NPPES registry on March 24, 2015.
Where is Clare Prohaska located?
Clare Prohaska practices at 550 University Blvd, Indianapolis, IN 46202. The listed phone number is (317) 963-0560.
What is Clare Prohaska's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Clare Prohaska enrolled in Medicare?
Yes. Clare Prohaska is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Clare Prohaska's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Clare Prohaska reassigns Medicare benefits to 3 organizations: Iu Health Medical Group, LLC (Indianapolis, IN), Indiana Clinic Critical Care LLC (Indianapolis, IN) and Arnett Clinic, LLC (Lafayette, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Clare Prohaska's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Clare Prohaska accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Clare Prohaska as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Clare Prohaska affiliated with any hospitals?
According to CMS data, Clare Prohaska is affiliated with Indiana University Health Bloomington Hospital and Indiana University Health.
When was this NPI record last updated?
The NPPES record for Clare Prohaska was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Clare Colette Prohaska, M.D. · NPI 1053705467
Pulmonary Disease physician in Indianapolis, Indiana. Individual provider, active in the CMS NPPES registry since March 24, 2015.
## Identity
- **NPI:** 1053705467 (Entity type: Individual)
- **Enumerated:** March 24, 2015
- **Primary specialty:** Internal Medicine - Pulmonary Disease · taxonomy 207RP1001X
- **State license:** 01082199A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 550 UNIVERSITY BLVD, Indianapolis, IN 46202-5149
- **Phone:** (317) 963-0560
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Iu Health Medical Group, LLC (NPI 1326893777, Indianapolis, IN); Indiana Clinic Critical Care LLC (NPI 1417285230, Indianapolis, IN); Arnett Clinic, LLC (NPI 1164490843, Lafayette, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Kansas School Of Med, class of 2015
## Record status
- **NPPES last updated:** March 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1053705467) · Data from the CMS NPPES public registry.