NPIMap

Individual provider Active NPI

Erika H. Clark, MD

  • Internal Medicine Physician
  • Lexington, KY
National Provider Identifier
1508841487
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35976 Issued in KY
Practice address
1451 Harrodsburg Rd
Suite D-502
Lexington, KY 40504-3758
Phone
(859) 277-8560
Fax
(859) 277-8866
NPI assigned
Dec 13, 2005
Last updated
May 22, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35976 KY Primary

Addresses

Primary practice location

1451 Harrodsburg Rd
Suite D-502
Lexington, KY 40504-3758

Mailing address

1451 Harrodsburg Rd
Suite D-502
Lexington, KY 40504-3758
Phone (859) 277-8560

Other identifiers 1

IdentifierTypeStateIssuer
000000041817OtherKYANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100406000348 KY Practitioner - Internal Medicine 0648306340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Kentucky College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

2040 Harrodsburg Rd
Suite 100
Lexington, KY 40503-1703
Phone (859) 899-7990

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince May 1, 2016 Accepting new patients
Baptist Health Medical Group Inc CurrentSince May 1, 2016 Accepting new patients
Saint Joseph Medical Foundation, Inc. PastSince Sep 3, 2002 Accepting new patients

Locations

2040 Harrodsburg Rd
Ste 100
Lexington, KY 40503
Phone (859) 899-7990

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

Interoperability endpoints

  • Direct secure messaging: eclark6340@bhkydirect.com

Organizations & group practices 3

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.

Hospital & facility affiliations 8

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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1508841487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 HARRODSBURG RD",
            "address_2": "SUITE D-502",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043758",
            "telephone_number": "859-277-8560",
            "fax_number": "859-277-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 HARRODSBURG RD",
            "address_2": "SUITE D-502",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043758",
            "telephone_number": "859-277-8560",
            "fax_number": "859-277-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ERIKA",
        "middle_name": "H.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "35976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000041817",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.