Anne Kowatsch Clark, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

01070944A Issued in IN

Practice address

7830 McFarland LN
Indianapolis, IN 46237-4708

Phone

(317) 865-2700

Fax

(317) 865-2711

NPI assigned

Mar 30, 2009

Sex

Female

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 NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dentist

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aclark208435@direct.franciscanalliance.org
• Direct secure messaging: anne.clark@ssp.directbygreenway.com
• FHIR API: https://fhir4.healow.com/fhir/r4/AIBJAD

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.

• United Health Center

  • Federally Qualified Health Center (FQHC)
  • Winston Salem, NC
  • NPI 1811136476
  Medicare reassignment NPD
• United Health Centers

  • General Practice Dentistry
  • Winston Salem, NC
  • NPI 1285120816
  NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)
• Southside Pediatrics, Inc.

  • Pediatrics Physician
  • Indianapolis, IN
  • NPI 1427038884
  NPD (past)

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1437391992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7830 MCFARLAND LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462374708",
            "telephone_number": "317-862-2700",
            "fax_number": "317-865-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7830 MCFARLAND LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462374708",
            "telephone_number": "317-865-2700",
            "fax_number": "317-865-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ANNE",
        "middle_name": "KOWATSCH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-30",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": "0107044",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01070944A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201085570",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Jana Clark
• Andreous Clark
• Anna Marie Clark, RN
• Anne C Clark, M.D.
• Anne Campbell Clark, DDS
• Ashley Nicole Clark, DDS
• Austin Clark
• Barbara Kay Clark, OTR
• Bradley A Clark, D.O.
• Brandon Clark

• Pediatrics Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Pediatrics Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.