Individual provider Active NPI

Kari Clark

  • Internal Medicine Physician
  • Stuart, FL
National Provider Identifier
1639535784
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
UO2438 Issued in FL
Practice address
1001 SE Ocean Blvd Ste 105
Stuart, FL 34996-2511
Phone
(772) 208-6053
Fax
(772) 264-9609
NPI assigned
Jan 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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 UO2438 FL Primary
Interventional Cardiology Physician 207RI0011X OS14471 FL

Addresses

Primary practice location

1001 SE Ocean Blvd Ste 105
Stuart, FL 34996-2511

Mailing address

1001 SE Ocean Blvd Ste 105
Stuart, FL 34996-2511
Phone (772) 208-6053

Other identifiers 3

IdentifierTypeStateIssuer
13543885OtherFLMULTIPLAN
HL6TFOtherFLBC
2635514OtherHUMANA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20170630001299 FL Practitioner - Cardiac SurgeryPractitioner - Cardiovascular Disease (Cardiology) 9638467665 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac SurgeryAlso: Cardiovascular Disease (Cardiology)
Education
University of North Texas HSC, College of Osteopathic Med, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

200 SE Hospital Ave
Stuart, FL 34994-2346
Phone (772) 223-5665

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.68 of 100Reported as group
Quality
60.2
Promoting interoperability
99
Improvement activities
40
Cost
75.2

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
89.96 of 100Reported as group
Quality
88.17
Promoting interoperability
100
Improvement activities
40
Cost
78.36

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting46
Pacemaker insertion or repair30

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
UO2438FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stuart Cardiology Group LLC CurrentSince Aug 1, 2023 Accepting new patients
Preventive and Restorative Heart and Health, PLLC Internal Medicine Current Accepting new patients
Martin Memorial Medical Center Inc CurrentSince Jul 1, 2017 Accepting new patients
Martin Memorial Medical Center Inc CurrentSince Jul 1, 2017 Accepting new patients

Locations

10000 SW Innovation Way
Port St Lucie, FL 34987
Phone (772) 288-5853

310 SE Veranda Falls Way
Port St Lucie, FL 34984
Phone (561) 800-4111

561 NW Lake Whitney Pl
Ste 103
Port St Lucie, FL 34986
Phone (772) 781-0222

200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618

1001 SE Monterey Commons Blvd
Ste 300
Stuart, FL 34996
Phone (561) 286-9400

1027 SE Ocean Blvd
Stuart, FL 34996
Phone (561) 781-0222

509 SE Riverside Dr
Stuart, FL 34994
Phone (772) 223-2300

1001 SE Ocean Blvd
Ste 105
Stuart, FL 34996
Phone (772) 220-8912

2100 SE Salerno Rd
Stuart, FL 34997
Phone (772) 223-2300

3725 11th Cir
Vero Beach, FL 32960
Phone (772) 410-0155

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: kari.clark.p1@direct.scg.nextgenshare.com

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1451952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1639535784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SE OCEAN BLVD STE 105",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349962511",
            "telephone_number": "772-208-6053",
            "fax_number": "772-264-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SE OCEAN BLVD STE 105",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349962511",
            "telephone_number": "772-208-6053",
            "fax_number": "772-264-9609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "KARI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-05",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "UO2438",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "OS14471",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "13543885",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "HL6TF",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "2635514",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.