Individual provider Active NPI

Min Qi Clapham, D.O.

  • Pulmonary Disease Physician
  • Kokomo, IN
National Provider Identifier
1881957207
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
02004456A Issued in IN
Practice address
1907 W Sycamore St
Kokomo, IN 46901-5148
Phone
(765) 236-8363
NPI assigned
Jun 20, 2012
Last updated
Jun 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 02004456A IN Primary

Addresses

Primary practice location

1907 W Sycamore St
Kokomo, IN 46901-5148

Mailing address

6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890

Other practice location 1

1001 W 10th St
Indianapolis, IN 46202-2859
Phone (317) 656-4260

Other names 1

  • Min Qi Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address min.clapham.1@7598.direct.athenahealth.com St. Vincent Medical Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, CO, MO3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200812002815 IN Practitioner - Pulmonary Disease 8820237324 Reassigns benefits to 3 organizations
I20230403001387 CO Practitioner - Internal Medicine 8820237324 Reassigns benefits to 1 organization
I20240801000645 MO Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 8820237324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Bradenton, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nuvoair Medical PCGroup PAC ID 1557742368, shared by 6 NPIs, 17 clinicians
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

Practice addresses (Care Compare)

2301 Blake St
Suite 100
Denver, CO 80205-2102
Phone (833) 688-6247

250 W 96TH St
Suite 520
Indianapolis, IN 46260-1317

7250 Clearvista Dr
Suite 355
Indianapolis, IN 46256-5609
Phone (833) 688-6247

754 Apple Valley Rd
Lyons, CO 80540-9030
Phone (833) 688-6247

8433 Harcourt Rd
Suite 100
Indianapolis, IN 46260-2193
Phone (317) 583-7600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
02004456AINMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nuvoair Medical PC CurrentSince Jan 14, 2023 Accepting new patients
Nuvoair Medical PC CurrentSince Jan 1, 2023 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Aug 24, 2020 Accepting new patients
Nuvoair Medical PC CurrentSince Jan 1, 2023 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Aug 24, 2020 Accepting new patients
Major Hospital Past Accepting new patients
St Vincent Medical Group Inc Past Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

1001 W 10th St
Indianapolis, IN 46202
Phone (317) 630-6175

1500 N Ritter Ave
Indianapolis, IN 46219
Phone (317) 355-5041

3815 River Crossing Pkwy
Indianapolis, IN 46240
Phone (317) 797-9379

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

7250 Clearvista Dr
Ste 355
Indianapolis, IN 46256
Phone (317) 621-5673

50 Milk St
Boston, MA 02109

50 Milk St
Fl 16
Boston, MA 02109
Phone (617) 213-0335

1034 S Brentwood Blvd
Ste 694
Saint Louis, MO 63117
Phone (314) 557-2620

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27550/brand/1/csg/1/fhir/r4
  • Direct secure messaging: min.clapham.1@27550.direct.athenahealth.com
  • Direct secure messaging: min.clapham.1@7598.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1881957207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH ST STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 W SYCAMORE ST",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469015148",
            "telephone_number": "765-236-8363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 W 10th St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462022859",
            "country_code": "US",
            "telephone_number": "317-656-4260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAPHAM",
        "first_name": "MIN",
        "middle_name": "QI",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-20",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IN",
            "license": "02004456A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "min.clapham.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St. Vincent Medical Group, Inc.",
            "address_1": "1907 W Sycamore St",
            "city": "Kokomo",
            "state": "IN",
            "country_code": "US",
            "postal_code": "469015148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MIN",
            "last_name": "QI",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kokomo, IN

Sources for this page

Verify at the official NPI Registry.