Clarence A Parks, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036-105357 Issued in IL

Practice address

1645 W Jackson Blvd
Suite 215
Chicago, IL 60612-3276

Phone

(312) 942-6800

Fax

(312) 942-3551

NPI assigned

Feb 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

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

HospitalistAlso: Internal Medicine

Education

Rush Medical College of Rush University, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Freeport Memorial HospitalGroup PAC ID 8426958232, 168 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• FHN Memorial Hospital Hospital, Freeport, IL, CCN 140160

Merit-based Incentive Payment System (MIPS)

Final score

87.08 of 100Reported as group

Quality

86.25

Improvement activities

40

Cost

77.17

Merit-based Incentive Payment System (MIPS)

Final score

83.84 of 100Reported as group

Quality

75.22

Promoting interoperability

92

Improvement activities

40

Cost

73.11

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Freeport Memorial Hospital

  • General Acute Care Hospital
  • Freeport, IL
  • NPI 1447228788
  Medicare reassignment Care Compare group NPD
• Freeport Regional Health Care Foundation

  • Family Medicine Physician
  • Freeport, IL
  • NPI 1457337016

  Internal Medicine

  Medicare reassignment NPD
• Freeport Memorial Hospital

  • Health Educator
  • Freeport, IL
  • NPI 1326880386
  NPD (past)
• Gibson Community Hospital Association

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)

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

• Freeport Memorial Hospital

  • General Acute Care Hospital
  • Freeport, IL
  • NPI 1447228788
  Care Compare affiliation

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243987200000",
    "number": "1245203512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 W JACKSON BLVD",
            "address_2": "SUITE 215",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123276",
            "telephone_number": "312-942-6800",
            "fax_number": "312-942-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 W JACKSON BLVD",
            "address_2": "SUITE 215",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123276",
            "telephone_number": "312-942-6800",
            "fax_number": "312-942-3551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "CLARENCE",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2009-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036105357",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036-105357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036105351",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsea Leigh Parkinson
• Rebecca Parkinson, LCSW
• Mary H Parkolap, SLP CF
• Carrie Beth Parks, LCSW
• Christina Ashley Parks
• Jonah Parks, LPC
• June Cook Parks
• Leah Parks, APRN CRNA
• Michellai Kierra Parks, MD
• Natalie Parks, PA - C

• Pediatrics Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; 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.