DR. PREJESH PHILIPS M.D.
NPI 1114183787
Surgery - Surgical Oncology in Louisville, KY

Q: What is Prejesh Philips's NPI number?

The NPI number for Prejesh Philips is 1114183787. It was assigned to this individual provider in the NPPES registry on August 4, 2008.

Q: What is Prejesh Philips's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Q: When was this NPI record last updated?

The NPPES record for Prejesh Philips was last updated on March 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.

Active since August 04, 2008PECOS EnrolledAccepts Medicare Assignment

401 E CHESTNUT ST, SUITE 710, LOUISVILLE, KY 40202(502) 583-8303(502) 584-0302 Get Directions Write a Review

NPPES record last updated: March 30, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Prejesh Philips M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PREJESH PHILIPS M.D. (NPI 1114183787) is an individual surgical oncology provider in Louisville, Kentucky, licensed in Kentucky (45387) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Clark Memorial Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1114183787

Entity TypeIndividualMale

Primary Taxonomy2086X0206X

Provider Legal NameDR. PREJESH PHILIPSCredential: M.D.

Location Address401 E CHESTNUT ST, SUITE 710Louisville, KY 40202-5700

Mailing AddressPo Box 909Louisville, KY 40201-0909 · (502) 588-0329 · Fax (502) 588-0326

Phone(502) 583-8303

Fax(502) 584-0302

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateAugust 4, 2008

Last NPPES UpdateMarch 30, 2016

✔ NPI 1114183787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2086X0206X

License✔ Licensed in KY · 45387

Definition

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

401 E CHESTNUT ST, Louisville, KY 40202

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 Health, Ambetter of Tennessee and more.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

Dr. Prejesh Philips 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 ID941426308

PECOS Enrollment IDI20140722000701

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.

Medicare Billing Reassignments

Medicare enrollment records show Prejesh Philips reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Louisville Physicians, Inc.

Same address

Neurology

401 E CHESTNUT ST, SUITE 510
Louisville, KY 40202

Reassigned Medicare billing, Kentucky enrollment
2,337 clinicians in this Medicare group

NPI 1063778744 (502) 589-0802

Bowling Green-Warren County Community Hospital Corporation

88 mi

Specialist

401 S L ROGERS WELLS BLVD
Glasgow, KY 42141

Reassigned Medicare billing, Kentucky enrollment
48 clinicians in this Medicare group

NPI 1932907144 (270) 261-5640

Commonwealth Health Corporation, Inc.

94 mi

Infectious Disease

720 2ND AVE STE 307
Bowling Green, KY 42101

Reassigned Medicare billing, Kentucky enrollment
319 clinicians in this Medicare group

NPI 1457779795 (270) 780-2760

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 13

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

89 services44 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

69 services58 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.

61 services44 patients

Insertion of stent into pancreatic or bile duct using a flexible endoscope 43274

This procedure involves the placement of a tiny tube, known as a stent, into your pancreatic or bile duct. A flexible endoscope, a long, thin instrument with a light and camera, is used. It aids in relieving blockages and improving flow in these ducts.

47 services30 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

47 services37 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.

36 services16 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

34 services34 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

31 services30 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

30 services30 patients

Removal of stone or debris from bile or pancreatic duct using a flexible endoscope 43264

This procedure, called an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible tube with a camera (endoscope) to locate and remove stones or debris from your bile or pancreatic duct. It's a non-surgical method to clear the ducts, enhancing your digestive health.

27 services22 patients

Replacement of stent in pancreatic or bile duct using a flexible endoscope 43276

This procedure involves replacing an existing stent in your pancreatic or bile duct. A flexible endoscope, a tube-like device with a light and camera, is used to view and access the area. The old stent is removed and a new one is placed to help keep the duct open.

20 services13 patients

Ultrasound guided needle aspiration or biopsy of esophagus using a flexible endoscope 43238

An ultrasound guided needle aspiration or biopsy of the esophagus involves using a flexible tube with a camera (endoscope) to view your esophagus. An ultrasound device on the endoscope helps to guide a needle to take a small tissue sample for testing. This is a safe, minimally invasive procedure.

16 services16 patients

Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43259

This procedure involves a flexible tube with a camera, called an endoscope, inserted through your mouth to examine your esophagus, stomach, and upper small bowel. An ultrasound device on the endoscope helps get detailed images. It's safe and helps diagnose various conditions.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Clark Memorial Hospital

Acute Care Hospitals · Jeffersonville, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number150009

Location1220 Missouri AveJeffersonville, IN 47130 · Clark County

Emergency services Birthing friendly

The Medical Center (bowling Green)

Acute Care Hospitals · Bowling Green, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180013

Location250 Park StreetBowling Green, KY 42101 · Warren County

Emergency services Birthing friendly

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180040

Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County

Emergency services

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180088

Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County

Emergency services Birthing friendly

University Of Louisville Hospital

Acute Care Hospitals · Louisville, KY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180141

Location530 South Jackson StreetLouisville, KY 40202 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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

$162.27 typical visit price

range $52.76 – $162.27

Typical copayment $40.56 (range $13.19 – $40.56)

Most-billed visit code 99205

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers24 claims31 services$18.34 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers24 claims29 services$98.79 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. CHRISTOPHER R. SHAFER M.D.

Psychiatry & Neurology (Neurology)

401 E CHESTNUT ST, SUITE 510
LOUISVILLE, KY 40202

Jefferson County (502) 588-4800

KELLI M. BULLARD DUNN MD

Colon & Rectal Surgery

401 E CHESTNUT ST, SUITE 710
LOUISVILLE, KY 40202

Jefferson County (502) 583-8303

JASON WAYNE SMITH MD

Surgery (Surgical Critical Care)

401 E CHESTNUT ST, SUITE 710
LOUISVILLE, KY 40202

Jefferson County (502) 583-8303

SRI PRAKASH L MOKSHAGUNDAM MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

401 E CHESTNUT ST, STE #310
LOUISVILLE, KY 40202

Jefferson County (502) 588-4600

DR. VICTORIA SKELTON YUNKER MD.

Psychiatry & Neurology (Psychiatry)

401 E CHESTNUT ST, SUITE 610
LOUISVILLE, KY 40202

Jefferson County (502) 588-4450

THERESA BRADSHAW BS

Occupational Therapist (Neurorehabilitation)

401 E CHESTNUT ST, SUITE 510
LOUISVILLE, KY 40202

Jefferson County (502) 589-0802

UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION

Surgery (Trauma Surgery)

401 E CHESTNUT ST, SUITE 710
LOUISVILLE, KY 40202

Jefferson County (502) 583-8303

UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION

Psychiatry & Neurology (Neurology)

401 E CHESTNUT ST, SUITE 510
LOUISVILLE, KY 40202

Jefferson County (502) 589-0802

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 Prejesh Philips's NPI number?

The NPI number for Prejesh Philips is 1114183787. It was assigned to this individual provider in the NPPES registry on August 4, 2008.

Where is Prejesh Philips located?

Prejesh Philips practices at 401 E Chestnut St Suite 710, Louisville, KY 40202. The listed phone number is (502) 583-8303.

What is Prejesh Philips's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Prejesh Philips enrolled in Medicare?

Yes. Prejesh Philips 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 Prejesh Philips's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prejesh Philips reassigns Medicare benefits to 3 organizations: University Of Louisville Physicians, Inc. (Louisville, KY), Bowling Green-Warren County Community Hospital Corporation (Glasgow, KY) and Commonwealth Health Corporation, Inc. (Bowling Green, KY). 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 Prejesh Philips's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Prejesh Philips accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Prejesh Philips 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 Prejesh Philips affiliated with any hospitals?

According to CMS data, Prejesh Philips is affiliated with Clark Memorial Hospital, The Medical Center (bowling Green), Jewish Hospital & St Mary's Healthcare, Norton Hospitals, Inc and University Of Louisville Hospital.

When was this NPI record last updated?

The NPPES record for Prejesh Philips was last updated on March 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.