Kristopher Clark, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

320529 Issued in NY

Practice address

1020 Youngs Rd Ste 100
Williamsville, NY 14221-2698

Phone

(716) 961-9900

Fax

(716) 961-9911

NPI assigned

Mar 22, 2016

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

Medicare fee-for-service enrollment

Enrolled in NY

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

Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine

Education

State University of New York at Buffalo School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Academic Medicine Services, Inc.Group PAC ID 0941105241, 115 clinicians

Kaleida HealthGroup PAC ID 7810805280, 214 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kaleida Health Hospital, Buffalo, NY, CCN 330005
• Roswell Park Cancer Institute Hospital, Buffalo, NY, CCN 330354

Merit-based Incentive Payment System (MIPS)

Final score

99.06 of 100Reported as group

Quality

87.72

Promoting interoperability

100

Improvement activities

40

Cost

75.82

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kristopherclark@ubmd.allscriptsdirect.net

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.

• Academic Medicine Services, Inc.

  • Internal Medicine Physician
  • Williamsville, NY
  • NPI 1255394763
  Medicare reassignment Care Compare group NPD
• Kaleida Health

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1639209596
  Medicare reassignment Care Compare group NPD
• Kaleida Health

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1427007046
  NPD
• Kaleida Health

  • Community/Retail Pharmacy
  • Buffalo, NY
  • NPI 1992540546
  NPD
• Ub Family Medicine, Inc

  • Family Medicine Physician
  • Williamsville, NY
  • NPI 1942294467
  NPD

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

• Kaleida Health

  • General Acute Care Hospital
  • Williamsville, NY
  • NPI 1053441907
  Care Compare affiliation
• Kaleida Health

  • General Acute Care Hospital
  • North Tonawanda, NY
  • NPI 1104956358
  Care Compare affiliation
• Kaleida Health

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1245365196
  Care Compare affiliation
• Kaleida Health

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1366473183
  Care Compare affiliation
• Kaleida Health

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1639209596
  Care Compare affiliation
• Kaleida Health

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1831229780
  Care Compare affiliation
• Roswell Park Cancer Institute

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1548315401
  Care Compare affiliation

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1619339439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 YOUNGS RD STE 100",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212698",
            "telephone_number": "716-961-9900",
            "fax_number": "716-961-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 YOUNGS RD STE 100",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212698",
            "telephone_number": "716-961-9900",
            "fax_number": "716-961-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "KRISTOPHER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-22",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "320529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE OFFICE OF PROFESSIONS",
            "identifier": "320529",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clarence Smiles Family Dentistry PLLC
• Vicki Clark-West, LPN
• A'Diamond Clark, LPN
• Aberlee Clark
• Emily Clark, LCSW
• Scott Clark Jr., R.N.
• Amy L Claroni, FNP
• Kevin Gregory Clauser, D.D.S.
• Serena Elise Clay
• Shatoya Clay, LPN

• Pulmonary Disease Physician in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Pulmonary Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.