Daniel C Clark, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD046505L Issued in PA

Practice address

841 Hospital Rd Ste 2300
Indiana, PA 15701-3699

Phone

(724) 357-7196

Fax

(724) 357-7279

NPI assigned

Oct 7, 2005

Last updated

Mar 15, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

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

General SurgeryAlso: Thoracic Surgery

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Indiana Healthcare Physician Services IncGroup PAC ID 5294723359, 151 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Indiana Regional Medical Center Hospital, Indiana, PA, CCN 390173

Merit-based Incentive Payment System (MIPS)

Final score

93.9 of 100Reported as apm

Quality

85.02

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dclark@direct.excelahealth.org

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.

• Indiana Healthcare Physician Services Inc

  dba IRMC Physician Group

  • Internal Medicine Physician
  • Indiana, PA
  • NPI 1578523429

  Surgery

  Medicare reassignment Care Compare group NPD
• Indiana Healthcare Physician Services, Inc

  • Radiation Oncology Physician
  • Indiana, PA
  • NPI 1417409186
  NPD
• Latrobe Surgical Group LLC

  • Surgery Physician
  • Greensburg, PA
  • NPI 1770550352
  NPD (past)
• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

• Indiana Regional Medical Center

  • Internal Medicine Physician
  • Blairsville, PA
  • NPI 1104055946

  Hospital

  Care Compare affiliation
• Indiana Regional Medical Center

  • Rural Acute Care Hospital
  • Indiana, PA
  • NPI 1356334510
  Care Compare affiliation
• Indiana Regional Medical Center

  • Rural Acute Care Hospital
  • Indiana, PA
  • NPI 1508047630
  Care Compare affiliation
• Indiana Regional Medical Center

  • Rural Acute Care Hospital
  • Indiana, PA
  • NPI 1659315372
  Care Compare affiliation

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1396733093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 KOLTER DR",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013570",
            "telephone_number": "724-357-7196",
            "fax_number": "724-357-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 HOSPITAL RD STE 2300",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013699",
            "telephone_number": "724-357-7196",
            "fax_number": "724-357-7279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "443 Frye Farm Rd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Greensburg",
            "state": "PA",
            "postal_code": "156016480",
            "country_code": "US",
            "telephone_number": "724-537-7100",
            "fax_number": "724-537-9847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "DANIEL",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD046505L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018210180003",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "daniel.clark@cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Cerner Millennium Direct Messaging Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Secure Messaging",
            "address_1": "841 Hospital Rd Ste 2300",
            "city": "Indiana",
            "state": "PA",
            "country_code": "US",
            "postal_code": "157013699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kwang Ho Chung, M.D.
• Citizens' Ambulance Service Inc
• Sandra Kathrine Cizek-Wood, MSW
• John Clair
• Beverly Clark
• Jaime Lee Clark
• Walter Leland Clark
• Leann Claypoole, BA
• Clearer Mind Counseling, LLC
• Karen Clover, LMT

• Surgery Physician in Indiana, PA
• Providers in Indiana, PA by specialty
• Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.