Individual provider Active NPI

Abdul-Ghaffaar Clark, MD

  • Emergency Medicine Physician
  • Irving, TX
National Provider Identifier
1053949305
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
U2465 Issued in TX
Practice address
6800 N Macarthur Blvd
Irving, TX 75039-2422
Phone
(414) 708-9427
NPI assigned
Mar 31, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 76601 WI
Emergency Medicine Physician 207P00000X U2465 TX Primary

Addresses

Primary practice location

6800 N Macarthur Blvd
Irving, TX 75039-2422

Mailing address

2212 Yaupon Dr
Irving, TX 75063-3483
Phone (414) 708-9427

Other practice location 1

8701 W Watertown Plank Rd
Wauwatosa, WI 53226-3548
Phone (414) 955-8296

Other practice location 2

4100 State Highway 66
Stevens Point, WI 54482
Phone (715) 236-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20230913003384 WI Practitioner - Emergency Medicine 9830514967 Reassigns benefits to 9 organizations
I20231025003394 TX Practitioner - Emergency Medicine 9830514967 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McAdams Emergency Medicine Associates, PAGroup PAC ID 2567895386, 42 clinicians
Webb Emergency Medicine Associates PAGroup PAC ID 1355305244, 43 clinicians

Practice addresses (Care Compare)

1300 E Saunders St
Laredo, TX 78041-5832
Phone (956) 815-4470

2901 Jaime Zapata Memorial Hwy
Laredo, TX 78043-5061
Phone (956) 523-2000

Hospital & facility affiliations

  • Marshfield Medical Center - Weston Hospital, Weston, WI, CCN 520202
  • Marshfield Medical Center - Rice Lake Hospital, Rice Lake, WI, CCN 520011
  • Doctors Hospital of Laredo Hospital, Laredo, TX, CCN 450643

Merit-based Incentive Payment System (MIPS)

Final score
80.58 of 100Reported as group
Quality
55.5
Promoting interoperability
100
Improvement activities
40
Cost
71.46

Merit-based Incentive Payment System (MIPS)

Final score
82.72 of 100Reported as group
Quality
64.71
Promoting interoperability
100
Improvement activities
40
Cost
65.56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76601WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beaver Dam Community Hospitals Inc CurrentSince Aug 31, 2023 Accepting new patients
Memorial Hospital Inc CurrentSince Aug 31, 2023 Accepting new patients
Marshfield Clinic Inc CurrentSince Aug 31, 2023 Accepting new patients
MCHS Hospitals Inc CurrentSince Aug 31, 2023 Accepting new patients
Flambeau Hospital Inc Current Accepting new patients
Bryan Emergency Physicians PA Emergency Medicine CurrentSince Nov 15, 2024 Accepting new patients
MCHS Hospitals Inc Emergency Medicine Current Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Aug 31, 2023 Accepting new patients
MCHS Hospitals Inc CurrentSince Aug 31, 2023 Accepting new patients
Flambeau Hospital Inc CurrentSince Aug 31, 2023 Accepting new patients
Webb Emergency Medicine Associates PA Emergency Medicine CurrentSince Jan 1, 2025 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Aug 31, 2023 Accepting new patients
Brazos Valley Emergency Physicians PA Emergency Medicine CurrentSince Nov 15, 2024 Accepting new patients
McAdams Emergency Medicine Associates, PA Emergency Medicine CurrentSince Dec 23, 2024 Accepting new patients
Memorial Hospital Inc CurrentSince Aug 31, 2023 Accepting new patients
Memorial Hospital Inc Past Accepting new patients

Locations

2801 Franciscan Dr
Bryan, TX 77802
Phone (409) 776-3777

1300 E Saunders St
Laredo, TX 78041
Phone (956) 815-4470

10700 McPherson Rd
Laredo, TX 78045
Phone (956) 523-2190

2901 Jaime Zapata Memorial Hwy
Laredo, TX 78043
Phone (956) 718-9000

210 S Judson St
Navasota, TX 77868
Phone (936) 825-6585

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

4100 State Highway 66
Stevens Point, WI 54482
Phone (715) 343-7700

Organizations & group practices 16

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.

View all 16

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": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1053949305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 YAUPON DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633483",
            "telephone_number": "414-708-9427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 N MACARTHUR BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750392422",
            "telephone_number": "414-708-9427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8701 W Watertown Plank Rd",
            "address_purpose": "LOCATION",
            "city": "Wauwatosa",
            "state": "WI",
            "postal_code": "532263548",
            "country_code": "US",
            "telephone_number": "414-955-8296",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4100 State Highway 66",
            "address_purpose": "LOCATION",
            "city": "Stevens Point",
            "state": "WI",
            "postal_code": "54482",
            "country_code": "US",
            "telephone_number": "715-236-8100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ABDUL-GHAFFAAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-31",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "76601",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "U2465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.