Joshua A Clark, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E-5920 Issued in AR

Practice address

11808 Highway 71 S
Fort Smith, AR 72916-9378

Phone

(479) 434-6140

Fax

(479) 434-6144

NPI assigned

Jul 18, 2007

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 2

Medicare fee-for-service enrollment

Enrolled in AR

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

University of Arkansas College of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Keystone Family ClinicGroup PAC ID 2668763178, 3 clinicians

Fands Physical Therapy, IncGroup PAC ID 7810898459, 217 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elite Home Health Home health agency, Fort Smith, AR, CCN 047339
• Access Home Health Home health agency, Fort Smith, AR, CCN 047009
• Baptist Health - Fort Smith Hospital, Fort Smith, AR, CCN 040055
• Mercy Hospital Fort Smith Hospital, Fort Smith, AR, CCN 040062

Merit-based Incentive Payment System (MIPS)

Final score

92.12 of 100Reported as individual

Quality

100

Promoting interoperability

100

Improvement activities

40

Cost

73.75

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: joshua.clark.1@13757.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/13757/brand/1/csg/1/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.

• Keystone Family Clinic

  • Primary Care Clinic/Center
  • Fort Smith, AR
  • NPI 1205280021
  Medicare reassignment Care Compare group NPD Authorized official
• F&S Physical Therapy, Inc.

  • Physical Therapist
  • Alma, AR
  • NPI 1518936418
  Care Compare group

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

• Baptist Health Regional Hospitals

  • General Acute Care Hospital
  • Fort Smith, AR
  • NPI 1710463146
  Care Compare affiliation
• Fort Smith Hma Home Health, LLC

  • Home Health Agency
  • Fort Smith, AR
  • NPI 1205997392
  Care Compare affiliation
• LHCG Xlii, LLC

  • Home Health Agency
  • Fort Smith, AR
  • NPI 1154668895
  Care Compare affiliation
• Mercy Hospital Fort Smith

  • General Acute Care Hospital
  • Fort Smith, AR
  • NPI 1568433480
  Care Compare affiliation

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1265632368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11808 HIGHWAY 71 S",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729169378",
            "telephone_number": "479-434-6140",
            "fax_number": "479-434-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11808 HIGHWAY 71 S",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729169378",
            "telephone_number": "479-434-6140",
            "fax_number": "479-434-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "JOSHUA",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-18",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-5920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200231900A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS MEDICAID TEMP. R",
            "identifier": "440163301",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Clark, LPC
• Cindy Clark, LPN
• Elizabeth Ann Clark, APN
• Gabrielle Ann Clark
• Jenna Clark, MS, RD, LD, CPT
• Rebecca Clark, COTA
• Scott Matthew Clark, DC
• Terry L Clark, MD
• Clear View Radiology, PLLC
• Allison D Clem, RPH

• Family Medicine Physician in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.