PHILIP JASON CLAPHAM MD
NPI 1861806580
Internal Medicine - Infectious Disease in Chicago, IL

Active since June 20, 2014PECOS EnrolledAccepts Medicare Assignment
1740 W TAYLOR ST, CHICAGO, IL 60612(866) 600-2273 Get Directions Write a Review

NPPES record last updated: March 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 6, 2025, Aug 27, 2020, Apr 1, 2017 (3 updates tracked since 2017).

About Philip Jason Clapham Md NPPES

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

PHILIP JASON CLAPHAM MD (NPI 1861806580) is an individual infectious disease provider in Chicago, Illinois, licensed in Indiana (01084363A) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Eskenazi Health, and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1861806580
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NamePHILIP JASON CLAPHAMCredential: MD
Location Address1740 W TAYLOR STChicago, IL 60612-7232
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJune 20, 2014
Last NPPES UpdateMarch 6, 20253 updates tracked since enumeration
NPPES CertifiedMarch 6, 2025
NPI 1861806580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License Licensed in IN · 01084363A
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License 01084363A (IN)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 11017937A (IN)
1740 W TAYLOR ST, Chicago, IL 60612

Secondary Practice Location 1

Location 11701 N Senate BlvdIndianapolis, IN 46202-1239 · Phone (888) 484-3258

Other Identifiers 2

Medicaid300042320IN
Other000001422934IN · Anthem Ptan

Accepted 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

Philip Jason Clapham Md 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 ID8628294485
PECOS Enrollment IDI20200826003035
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 2

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 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.
51 services19 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
34 services30 patients

Hospital Affiliations CMS Care Compare

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

Eskenazi Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150024
Location720 Eskenazi AvenueIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

Occupational Therapist
1740 W TAYLOR ST, C100
CHICAGO, IL 60612
Physician Assistant (Surgical)
1740 W TAYLOR ST, 3F OCC
CHICAGO, IL 60612
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
1740 W TAYLOR ST
CHICAGO, IL 60612
Anesthesiology
1740 W TAYLOR ST
CHICAGO, IL 60612
Pediatrics (Neonatal-Perinatal Medicine)
1740 W TAYLOR ST
CHICAGO, IL 60612
Family Medicine
1740 W TAYLOR ST
CHICAGO, IL 60612
Ophthalmology
1740 W TAYLOR ST
CHICAGO, IL 60612
Emergency Medicine
1740 W TAYLOR ST
CHICAGO, IL 60612

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 Philip Clapham's NPI number?

The NPI number for Philip Clapham is 1861806580. It was assigned to this individual provider in the NPPES registry on June 20, 2014.

Where is Philip Clapham located?

Philip Clapham practices at 1740 W Taylor St, Chicago, IL 60612. The listed phone number is (866) 600-2273.

What is Philip Clapham's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Philip Clapham enrolled in Medicare?

Yes. Philip Clapham 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 Philip Clapham accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Philip Clapham 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 Philip Clapham affiliated with any hospitals?

According to CMS data, Philip Clapham is affiliated with Eskenazi Health.

When was this NPI record last updated?

The NPPES record for Philip Clapham was last updated on March 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.