1. Home
  2. Directory
  3. Indiana
  4. Polis
  5. Internal Medicine
  6. NPI Profile

CLARE COLETTE PROHASKA M.D.
NPI 1053705467
Internal Medicine - Pulmonary Disease in Indianapolis, IN

Active since March 24, 2015PECOS EnrolledAccepts Medicare Assignment
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202(317) 963-0560 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 4, 2025, Aug 15, 2022, Jun 25, 2018 and 1 more (4 updates tracked since 2018).

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 is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2015).

NPPES Registry Identity

NPI1053705467
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameCLARE COLETTE PROHASKACredential: M.D.
Location Address550 UNIVERSITY BLVDIndianapolis, IN 46202-5149
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Phone(317) 963-0560
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2015
Enumeration DateMarch 24, 2015
Last NPPES UpdateMarch 4, 20254 updates tracked since enumeration
NPPES CertifiedMarch 4, 2025
✔ NPI 1053705467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in IN · 01082199A
Definition
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License 60478 (CO)
Also ListedHospitalistTaxonomy 208M00000X · License 60478 (CO)
550 UNIVERSITY BLVD, Indianapolis, IN 46202
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID9931415379
PECOS Enrollment IDI20200406002215
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
76 services36 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
57 services29 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
21 services13 patients
Test for exercise-induced lung stress 94618
An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.
15 services11 patients

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, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150051
Location2651 East Discovery ParkwayBloomington, IN 47408 · Monroe County
Emergency services Birthing friendly

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Physician 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.

New Patient
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JACK DAVID MARKIEWICZ M.D.
Radiology (Diagnostic Radiology)
550 UNIVERSITY BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 278-9729
CRISTINA NANCY PEREZ CHUMBIAUCA MD
Internal Medicine (Rheumatology)
550 UNIVERSITY BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 944-5000
JENNIFER MARIE SPORS NP
Nurse Practitioner (Gerontology)
550 UNIVERSITY BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 944-7728
DR. BRENNA ESPELIEN MD
Obstetrics & Gynecology (Gynecology)
550 UNIVERSITY BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 274-2018
STEVEN T HUGENBERG MD
Internal Medicine (Rheumatology)
550 UNIVERSITY BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 944-8660
OLGA BARKAY MD
Student in an Organized Health Care Education/Training Program
550 UNIVERSITY BLVD, SUITE 4100
INDIANAPOLIS, IN 46202
Marion County (317) 278-0427
DR. YELENA CHERNYAK PH.D., HSPP
Psychologist (Health)
550 UNIVERSITY BLVD, ROOM UH 3240
INDIANAPOLIS, IN 46202
Marion County (317) 944-7422
HEATHER M HOSFIELD NP
Nurse Practitioner (Adult Health)
550 UNIVERSITY BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 944-5000

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.

What insurance does Clare Prohaska accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare 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 17 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.