NPIMap

Individual provider Active NPI

Robert C Clark, M.D.

  • Internal Medicine Physician
  • Saint Joseph, MO
National Provider Identifier
1013000892
Registry record updated Nov 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R3J43 Issued in MO
Practice address
901 Heartland Rd
Ste 3800
Saint Joseph, MO 64506-6200
Phone
(816) 671-4800
Fax
(816) 233-4021
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R3J43 MO Primary

Addresses

Primary practice location

901 Heartland Rd
Ste 3800
Saint Joseph, MO 64506-6200

Mailing address

901 Heartland Rd Ste 3800
Saint Joseph, MO 64506-6201
Phone (816) 671-4818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180516000598 DC Practitioner - Internal Medicine 9537180914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Missouri, Columbia School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians
Suburban/NRH Medical Rehabilitation IncGroup PAC ID 6507846771, 885 clinicians

Practice addresses (Care Compare)

1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401

3007 Tilden St NW
Suite 5N
Washington, DC 20008-3030

6410 Rockledge Dr
Bethesda, MD 20817-1844

6410 Rockledge Dr
Suite 401
Bethesda, MD 20817-1842
Phone (301) 897-5001

Hospital & facility affiliations

  • Adventist Home Health Services, Inc. Home health agency, Silver Spring, MD, CCN 217032
  • Centerwell Home Health Home health agency, Columbia, MD, CCN 217071
  • Medstar Health Home Care Home health agency, Hyattsville, MD, CCN 217150
  • Medstar Georgetown University Hospital Hospital, Washington, DC, CCN 090004
  • Sibley Memorial Hospital Hospital, Washington, DC, CCN 090005
  • Medstar Washington Hospital Center Hospital, Washington, DC, CCN 090011

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R3J43MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Apr 23, 2018 Accepting new patients
Medstar Medical Group II LLC Internal Medicine CurrentSince Apr 23, 2018 Accepting new patients
Midwestern Health Management, Inc. Past Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

3301 New Mexico Ave NW
Ste 205
Washington, DC 20016
Phone (202) 243-2500

6410 Rockledge Dr
Ste 401
Bethesda, MD 20817
Phone (301) 897-5001

Organizations & group practices 4

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

Hospital & facility affiliations 6

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511136000000",
    "number": "1013000892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 HEARTLAND RD STE 3800",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645066201",
            "telephone_number": "816-671-4818",
            "fax_number": "816-233-4021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 HEARTLAND RD",
            "address_2": "STE 3800",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645066200",
            "telephone_number": "816-671-4800",
            "fax_number": "816-233-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ROBERT",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2017-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "R3J43",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.