NPIMap

Individual provider Active NPI

Roy R Clark, MD

  • Obstetrics Physician
  • Irwin, PA
National Provider Identifier
1215938907
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
MD055102L Issued in PA
Practice address
8800 Barnes Lake Rd
Irwin, PA 15642-3177
Phone
(724) 832-9190
Fax
(724) 978-0544
NPI assigned
Aug 3, 2005
Last updated
Aug 3, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X MD055102L PA Primary

Addresses

Primary practice location

8800 Barnes Lake Rd
Irwin, PA 15642-3177

Mailing address

8800 Barnes Lake Rd
Irwin, PA 15642-3177
Phone (724) 832-9190

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rclark73007@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20120508000126 PA Practitioner - Obstetrics/Gynecology 8325147283 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Rochester School of Medicine and Dentistry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

2570 Haymaker Rd
Monroeville, PA 15146-3513
Phone (412) 359-6656

62 Greenbriar Dr
Suite 1
Leechburg, PA 15656-8209
Phone (724) 845-7765

6321 Route 30
Greensburg, PA 15601-9704

6321 Rte
30 Suite 200
Greensburg, PA 15601-9704
Phone (412) 578-1212

6321 State Route 30
Suite 200
Greensburg, PA 15601-9704
Phone (412) 373-1600

8800 Barnes Lake Rd
North Huntingdon, PA 15642-3177
Phone (412) 856-7500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD055102LPAMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince Apr 1, 2016 Accepting new patients
Adagio Health Inc. Obstetrics Current Accepting new patients
Adagio Health Inc. Obstetrics CurrentSince Feb 14, 2022 Accepting new patients
Adagio Health Inc. Obstetrics CurrentSince Feb 14, 2022 Accepting new patients
Allegheny Clinic CurrentSince Apr 1, 2016 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
West Penn Allegheny Health System Inc. Past Accepting new patients

Locations

323 Sunset Dr
Ste 2
Butler, PA 16001
Phone (724) 282-2730

118 E Plum St
Edinboro, PA 16412
Phone (814) 734-7600

660 Pellis Rd
Greensburg, PA 15601
Phone (724) 390-0331

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

8800 Barnes Lake Rd
North Huntingdon, PA 15642
Phone (724) 832-9190

Interoperability endpoints

  • Direct secure messaging: rclark1@direct.excelahealth.org
  • Direct secure messaging: rclark73007@direct.ahn.org
  • Direct secure messaging: roy.clark.p6@direct.adagiohealth.nextgenshare.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 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1215938907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 BARNES LAKE RD",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156423177",
            "telephone_number": "724-832-9190",
            "fax_number": "724-978-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 BARNES LAKE RD",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156423177",
            "telephone_number": "724-832-9190",
            "fax_number": "724-978-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ROY",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "PA",
            "license": "MD055102L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rclark73007@direct.ahn.org",
            "affiliation": "N",
            "address_1": "8800 Barnes Lake Rd",
            "city": "Irwin",
            "state": "PA",
            "country_code": "US",
            "postal_code": "156423177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Irwin, PA

Sources for this page

Verify at the official NPI Registry.