✓ Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) (207RP1001X) ✓ HHS OIG Screened Clear 🩺 Entity Type 1 (Individual)

PHILIP JAMES ABRAHAM, M.D. (NPI #1548375629)

Internal Medicine, Pulmonary Disease • SPRINGFIELD, IL • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1548375629
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207RP1001X (CMS 11)
Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
Box 32 Service Location & ZIP+4
1025 S 6TH ST, SPRINGFIELD, IL, 62703
Official NPPES Practice Location
Practice Phone & Referral Fax
Direct NPPES Verification Line
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1548375629 (PHILIP JAMES ABRAHAM, M.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1548375629)

Actual Top Prescribed Medications (CMS Part D)

Brand / Generic MedicationTotal ClaimsPatients
Advair Diskus
Fluticasone Propion/Salmeterol
15<11
Advair Hfa
Fluticasone Propion/Salmeterol
6013
Albuterol Sulfate Hfa
Albuterol Sulfate
936318
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
12<11
Anoro Ellipta
Umeclidinium Brm/Vilanterol Tr
13523
Arnuity Ellipta
Fluticasone Furoate
5813
Azithromycin
Azithromycin
15452
Belsomra
Suvorexant
11<11

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1548375629 (NPI-1 Individual Practitioner)
Provider / Legal NamePHILIP JAMES ABRAHAM, M.D.
Plain-English SpecialtyBoard-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
NUCC Code: 207RP1001X (Internal Medicine, Pulmonary Disease)
Certifying / Licensing BodyAmerican Board of Internal Medicine (ABIM)
Practice Location Address1025 S 6TH ST, SPRINGFIELD, IL, 62703
Practice Telephone / FaxTel: (217) 528-7541
Administrative Mailing Address1025 S 6TH ST, SPRINGFIELD, IL, 62703-2403
Enumeration & Last SyncEnumerated: 2006-08-20 | CMS Record Updated: 2020-05-19

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1025 S 6TH ST, SPRINGFIELD, IL, 62703

🗺️ Open in Google Maps 🏥 More Providers in SPRINGFIELD

Plain-English Taxonomy & CMS Crosswalk (207RP1001X)

What Does Taxonomy Code 207RP1001X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RP1001X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 11 (Physician/Internal Medicine) • CMS Code 29 (Physician/Pulmonary Disease)
Certifying / Accrediting Authority: American Board of Internal Medicine (ABIM)
Clinical Scope: Managing multiple adult chronic conditions (diabetes, high blood pressure, high cholesterol, thyroid disorders) or investigating unexplained adult symptoms.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (PHILIP JAMES ABRAHAM, M.D.)

Typical CPT / Diagnostic Procedures:
  • Complex Multi-System Adult Diagnostic Workup (CPT 99204–99215)
  • Preoperative Medical Risk Assessment & Cardiac Clearance
  • Chronic Kidney, Hepatic & Metabolic Panel Interpretation
  • Adult Inpatient Hospitalist Management & Discharge Coordination
Common Therapeutic Classes:
  • Antihypertensives (ACE Inhibitors, ARBs, Calcium Channel Blockers, Thiazides)
  • Oral Antidiabetic Agents, Basal/Bolus Insulins & Lipid-Lowering Statins
  • Direct Oral Anticoagulants (Apixaban, Rivaroxaban) & Antiplatelets
  • Levothyroxine (Hypothyroidism) & Proton Pump Inhibitors (Pantoprazole)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
207RS0012X — Internal Medicine, Sleep Medicine
Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
State: IL | License: 036116505 | Primary: Secondary
207RP1001X — Internal Medicine, Pulmonary Disease
Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
State: IL | License: 036116505 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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