Kim P Lark, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A110698 Issued in NM

Practice address

2402 W Pierce St
Suite 4-a
Carlsbad, NM 88220-3537

Phone

(575) 234-9964

Fax

(575) 234-9962

NPI assigned

Oct 31, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

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 1

Specialty

Family Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Carlsbad, NM, CCN 327172
• J & J Home Care, Inc. Home health agency, Artesia, NM, CCN 327136
• Lakeview Christian Home Health Home health agency, Carlsbad, NM, CCN 327161
• Lakeview Christian Hospice Hospice, Carlsbad, NM, CCN 321540
• Carlsbad Medical Center Hospital, Carlsbad, NM, CCN 320063
• Artesia General Hospital Hospital, Artesia, NM, CCN 320030

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kplarkdo@kpldp-nm.direct.office.nextgen.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Kim P Lark DO PC

  • Family Medicine Physician
  • Carlsbad, NM
  • NPI 1720275357
  Medicare reassignment NPD

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

• Artesia General Hospital

  • General Acute Care Hospital
  • Artesia, NM
  • NPI 1437286044
  Care Compare affiliation
• Carlsbad Medical Center LLC

  • Rehabilitation Hospital Unit
  • Carlsbad, NM
  • NPI 1114949781
  Care Compare affiliation
• Carlsbad Medical Center LLC

  • General Acute Care Hospital
  • Carlsbad, NM
  • NPI 1790722346
  Care Compare affiliation
• J&J Home Care, Inc.

  • Home Health Agency
  • Artesia, NM
  • NPI 1568465052
  Care Compare affiliation
• Lakeview Christian Home of the Southwest, Inc.

  • Community Based Hospice Care Agency
  • Carlsbad, NM
  • NPI 1487644464

  Home health agency

  Care Compare affiliation
• Wellcare, Inc

  • Home Health Agency
  • Carlsbad, NM
  • NPI 1932537420
  Care Compare affiliation

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388620800000",
    "number": "1023009016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 W PIERCE ST",
            "address_2": "SUITE 4-A",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882203537",
            "telephone_number": "575-234-9964",
            "fax_number": "575-234-9962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 W PIERCE ST",
            "address_2": "SUITE 4-A",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882203537",
            "telephone_number": "575-234-9964",
            "fax_number": "575-234-9962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARK",
        "first_name": "KIM",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2014-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "A110698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T9592",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia L Landreth, FNP
• Landsun Homes Inc
• Danielle Langdon
• Victoria Lara
• Jacquelyn Louise Lardie, NP
• Las Cruces HB Medical Services LLC
• Ronald Laughlin
• Kerry J Lawson
• John Leak, PA
• Stacey Lee, LMT, MMP

• Family Medicine Physician in Carlsbad, NM
• Providers in Carlsbad, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.