Individual provider Active NPI

Richard A. Clark, M.D.

  • Cardiovascular Disease Physician
  • Sioux Falls, SD
National Provider Identifier
1457466617
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
7501 Issued in SD
Practice address
1305 W 18TH St
Sioux Falls, SD 57105-0401
Phone
(605) 328-2929
NPI assigned
Aug 20, 2006
Last updated
Aug 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 19750 NE
Cardiovascular Disease Physician 207RC0000X 7501 SD Primary

Addresses

Primary practice location

1305 W 18TH St
Sioux Falls, SD 57105-0401

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, TX, IA, MN4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20090826000275 SD Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6103971254 Reassigns benefits to 2 organizations
I20100511000689 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6103971254 Reassigns benefits to 1 organization
I20240809001394 IA Practitioner - Cardiovascular Disease (Cardiology) 6103971254 Reassigns benefits to 2 organizations
I20240816002838 MN Practitioner - Cardiovascular Disease (Cardiology) 6103971254 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Creighton University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford ClinicGroup PAC ID 0244143824, shared by 7 NPIs, 268 clinicians
Sanford Health NetworkGroup PAC ID 6800707100, 357 clinicians
Sanford Medical CenterGroup PAC ID 8325950215, 847 clinicians

Practice addresses (Care Compare)

100 Lincoln Cir SE
Sanford Childrens 69TH Louis Clinic
Orange City, IA 51041-1862
Phone (712) 737-2000

1000 Lincoln Cir SE
Orange City, IA 51041-1836

1018 6TH Ave
Worthington, MN 56187-2202
Phone (507) 372-3800

1301 W 18TH St
Sioux Falls, SD 57105-0401
Phone (605) 312-2100

1305 W 18TH St
Sioux Falls, SD 57105-0401
Phone (605) 328-8700

1430 N Hwy
Jackson, MN 56143-1093
Phone (507) 847-2200

1601 Sioux Valley Dr
Luverne, MN 56156-4500
Phone (507) 283-4476

2042 Juniper Ave
Slayton, MN 56172-1017
Phone (507) 836-1227

2150 Hospital Dr
Windom, MN 56101-1287
Phone (605) 328-2663

2170 Hospital Dr
Windom, MN 56101-1287
Phone (507) 831-1422

249 5TH St E
Tracy, MN 56175-1536
Phone (507) 629-8400

251 5TH St E
Tracy, MN 56175-1536
Phone (507) 629-3200

4405 E 26TH St
Sioux Falls, SD 57103-4187
Phone (605) 332-2883

450 Eastvold Ave
Ortonville, MN 56278-1252
Phone (320) 839-2502

525 N Foster St
Mitchell, SD 57301-2966
Phone (605) 995-5635

745 E 8TH St
Winner, SD 57580-2677
Phone (605) 742-7100

809 Jackson St
Burke, SD 57523-2065
Phone (605) 775-2631

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.32 of 100Reported as group
Quality
75.87
Promoting interoperability
100
Improvement activities
40
Cost
68.53

Merit-based Incentive Payment System (MIPS)

Final score
80.21 of 100Reported as group
Quality
92.56
Promoting interoperability
100
Improvement activities
40
Cost
41.48

Merit-based Incentive Payment System (MIPS)

Final score
85.53 of 100Reported as group
Quality
80.98
Promoting interoperability
100
Improvement activities
40
Cost
70.78

Merit-based Incentive Payment System (MIPS)

Final score
95.27 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.78 of 100Reported as group
Quality
78.77
Promoting interoperability
100
Improvement activities
40
Cost
70.49

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19750NEMDInternal Medicine Physician
7501SDMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health Network Current Accepting new patients
Sanford Medical Center Internal Medicine CurrentSince Feb 1, 2012 Accepting new patients
Sanford Clinic Cardiovascular Disease CurrentSince Jun 11, 2024 Accepting new patients
Sanford Clinic CurrentSince Aug 1, 2009 Accepting new patients
Sanford Clinic Current Accepting new patients
Sanford Clinic CurrentSince Aug 1, 2009 Accepting new patients
Sanford Clinic Current Accepting new patients
Sanford Health Network CurrentSince Jun 11, 2024 Accepting new patients
Eagle Butte Indian Health Service Hospital CurrentSince Nov 17, 2012 Accepting new patients
Sanford Health Network CurrentSince Jun 11, 2024 Accepting new patients
Sanford Health Network Internal Medicine Current Accepting new patients
Sanford Clinic CurrentSince Jun 11, 2024 Accepting new patients
Sanford Health Network Internal Medicine CurrentSince Aug 1, 2009 Accepting new patients
Sanford Clinic Past Accepting new patients
Creighton University Cardiovascular Disease Past Accepting new patients
Creighton University Past Accepting new patients
Sanford Clinic Past Accepting new patients

Locations

303 E Jefferson St
Inwood, IA 51240
Phone (712) 753-4401

1000 Lincoln Cir SE
Orange City, IA 51041
Phone (712) 737-2000

118 N 7th Ave
Sheldon, IA 51201
Phone (712) 324-5041

2720 Stone Park Blvd
Sioux City, IA 51104
Phone (712) 259-3000

1430 North Hwy
Jackson, MN 56143
Phone (507) 847-2200

1601 Sioux Valley Dr
Luverne, MN 56156
Phone (507) 283-4476

450 Eastvold Ave
Ortonville, MN 56278
Phone (320) 839-2502

249 5th St E
Tracy, MN 56175
Phone (507) 629-3520

920 Bell Ave
Westbrook, MN 56183
Phone (507) 274-1150

2150 Hospital Dr
Windom, MN 56101
Phone (507) 831-0618

1018 6th Ave
Worthington, MN 56187
Phone (507) 343-6100

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

1301 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-2100

1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300

4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000

111 Washington Ave NW
Wagner, SD 57380
Phone (605) 384-3621

401 9th Ave NW
Watertown, SD 57201
Phone (605) 886-9317

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 11

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

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1457466617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 W 18TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571050401",
            "telephone_number": "605-328-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "RICHARD",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "19750",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SD",
            "license": "7501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.